Healthcare Provider Details

I. General information

NPI: 1194929489
Provider Name (Legal Business Name): ERICA CRISTINA GARCIA-PITTMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 12/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 MILLS AVE AMEP - AUSTIN PSYCHIATRIC RESIDENCY PROGRAM
AUSTIN TX
78731-6309
US

IV. Provider business mailing address

1601 RIO GRANDE ST STE 340
AUSTIN TX
78701-1162
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-2080
  • Fax: 512-324-2084
Mailing address:
  • Phone: 512-324-2080
  • Fax: 512-324-2084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberM4080
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberM4080
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: