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NPI 1063909208

NPI 1063909208 : LEONARDO GARCIA M.D., PA : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1063909208
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEONARDO GARCIA M.D., PA 
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Dates
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    Enumeration Date     |    04/13/2018
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    Last Update Date     |    04/18/2018
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Provider Practice Location Address
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    Address Line         |    2010 S CYNTHIA ST STE 106 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-1387
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    Country              |    US
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    Telephone            |    956-687-3318
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    Fax                  |    956-687-4878
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Provider Business Mailing Address
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    Address Line         |    2010 S CYNTHIA ST STE 106 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-1387
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    Country              |    US
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    Telephone            |    956-687-3318
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    Fax                  |    956-687-4878
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Authorized Official
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    Title or Position    |    BILLING CLERK
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    Name                 |     ELSA YARETH ALEJANDRO 
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    Credential           |    
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    Telephone            |    956-687-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0402X
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    Taxonomy Name        |    Neurology with Special Qualifications in Child Neurology Physician
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    License Number       |    
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    License Number State |    
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