Healthcare Provider Details

I. General information

NPI: 1265690077
Provider Name (Legal Business Name): CESAR GARCIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 STONEWALL ST
SAN ANTONIO TX
78214-1908
US

IV. Provider business mailing address

680 STONEWALL ST
SAN ANTONIO TX
78214-1908
US

V. Phone/Fax

Practice location:
  • Phone: 210-924-7547
  • Fax: 210-924-0527
Mailing address:
  • Phone: 210-924-7547
  • Fax: 210-924-0527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberG1400
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: