Healthcare Provider Details

I. General information

NPI: 1801990932
Provider Name (Legal Business Name): JOSE L GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 N FOWLER ST
HOBBS NM
88240-2312
US

IV. Provider business mailing address

2410 N FOWLER ST
HOBBS NM
88240-2312
US

V. Phone/Fax

Practice location:
  • Phone: 575-392-2040
  • Fax: 575-392-6752
Mailing address:
  • Phone: 575-392-2040
  • Fax: 575-392-6752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2005-0658
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: