Healthcare Provider Details

I. General information

NPI: 1043236938
Provider Name (Legal Business Name): CHARLES A. GARCIA, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4704 MONTROSE BLVD
HOUSTON TX
77006-6122
US

IV. Provider business mailing address

12970 EAST FWY
HOUSTON TX
77015-5710
US

V. Phone/Fax

Practice location:
  • Phone: 713-333-0151
  • Fax: 832-485-5080
Mailing address:
  • Phone: 281-332-1559
  • Fax: 813-323-3942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDITH ROMERO
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 281-332-1559