Healthcare Provider Details

I. General information

NPI: 1548226418
Provider Name (Legal Business Name): ROBERT LUIS GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 11/24/2023
Certification Date: 11/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 MCMILLAN RD
WEST MONROE LA
71291-5327
US

IV. Provider business mailing address

503 MCMILLAN RD
WEST MONROE LA
71291-5327
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-4744
  • Fax: 318-329-4719
Mailing address:
  • Phone: 318-329-4744
  • Fax: 318-329-4719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.024194
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD.024194
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: