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General NPI Number Information
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NPI Number | 1114851276
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Entity Type | Organization
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Legal Business Name | SPORTS MEDICINE AND REGENERATIVE ORTHOPEDICS, PLLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E STE 245
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City | BRYAN
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State | TX
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Zip | 77802-3483
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Country | US
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Telephone | 979-721-9821
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Fax | 979-599-9160
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DR E STE 245
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City | BRYAN
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State | TX
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Zip | 77802-3483
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Country | US
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Telephone | 979-721-9821
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Fax | 979-599-9160
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. RICARDO GARCIA JR.
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Credential | DO
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Telephone | 979-721-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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