MEDICARE: DR. PEDRO E GARCIA JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E4345	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922006881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO E GARCIA JR. M.D.

Provider Business Mailing Address
First Line	:	805 N CAGE BLVD
Second Line	:	STE B
City	:	PHARR
State	:	TX
Zip	:	78577-3109
Country	:	US
Telephone Number	:	956-961-4577
Fax Number	:	956-961-4506

Provider Business Practice Location Address
First Line	:	713 N BENTSEN PALM DR
Second Line	:	H
City	:	MISSION
State	:	TX
Zip	:	78574-3796
Country	:	US
Telephone Number	:	956-519-3400
Fax Number	:	956-519-3402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/17/2016

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Directions to “ DR. PEDRO E GARCIA JR. M.D.” Practice Location

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