Healthcare Provider Details

I. General information

NPI: 1275826778
Provider Name (Legal Business Name): EDUARDO I. GARCIA, M.D. & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 05/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 W ANDERSON LN
AUSTIN TX
78757-1546
US

IV. Provider business mailing address

914 W ANDERSON LN
AUSTIN TX
78757-1546
US

V. Phone/Fax

Practice location:
  • Phone: 512-454-7631
  • Fax:
Mailing address:
  • Phone: 512-454-7631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberF9289
License Number StateTX

VIII. Authorized Official

Name: DR. EDUARDO I. GARCIA
Title or Position: OWNER
Credential: M.D.
Phone: 512-454-7631