Healthcare Provider Details

I. General information

NPI: 1528796026
Provider Name (Legal Business Name): GERMAN GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 EL PASO DR
EL PASO TX
79905-2827
US

IV. Provider business mailing address

130 RICK FRANCIS ST
EL PASO TX
79905-2841
US

V. Phone/Fax

Practice location:
  • Phone: 915-215-4360
  • Fax:
Mailing address:
  • Phone: 915-215-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number805862
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: