=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801907894
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELVIN R. GARCIA, MD., PA.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 12/21/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 811 E FERN AVE STE 1
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-1401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-630-2114
-----------------------------------------------------
Fax | 956-630-2155
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4484
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78502-4484
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-630-2114
-----------------------------------------------------
Fax | 956-630-2155
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ELVIN RAFAEL GARCIA
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 956-630-2114
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | K9538
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------