Healthcare Provider Details

I. General information

NPI: 1629044490
Provider Name (Legal Business Name): OSCAR J GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 02/21/2017
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

2717 MICHAELANGELO DR
EDINBURG TX
78539-1408
US

V. Phone/Fax

Practice location:
  • Phone: 956-217-7050
  • Fax: 956-217-7099
Mailing address:
  • Phone: 512-583-0205
  • Fax: 512-583-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberK5944
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: