Healthcare Provider Details
I. General information
NPI: 1023167129
Provider Name (Legal Business Name): OSCAR J GARCIA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2007
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2717 MICHAEL ANGELO RADIATION ONCOLOGY DEPT
EDINBURG TX
78539-1408
US
IV. Provider business mailing address
PO BOX 4609
MCALLEN TX
78502-4609
US
V. Phone/Fax
- Phone: 956-217-7050
- Fax: 956-217-7099
- Phone: 512-583-0205
- Fax: 512-583-2001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
OSCAR
J
GARCIA
Title or Position: OWNER
Credential: MD
Phone: 956-217-7050