Healthcare Provider Details

I. General information

NPI: 1659531564
Provider Name (Legal Business Name): HERBERT I GARFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 10/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 E SAN MARCOS ST
PEARSALL TX
78061-3226
US

IV. Provider business mailing address

404 E SAN MARCOS ST
PEARSALL TX
78061-3226
US

V. Phone/Fax

Practice location:
  • Phone: 830-334-3336
  • Fax: 830-334-5574
Mailing address:
  • Phone: 830-334-3336
  • Fax: 830-334-5574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD4487
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberD4487
License Number StateTX

VIII. Authorized Official

Name: DR. HERBERT I GARFIELD
Title or Position: OWNER
Credential: M.D.
Phone: 830-334-3336