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NPI Code Detail

MEDICARE: MR. RICHARD ISAAC GARCIA PA-C

MEDICARE: MR. RICHARD ISAAC GARCIA PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA05168TX

General Provider Information

NPI Number : 1225151160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD ISAAC GARCIA PA-C
Provider Business Mailing Address
First Line : 4055 INTERNATIONAL PLZ STE 230
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4874
Country : US
Telephone Number : 682-622-7199
Fax Number :
Provider Business Practice Location Address
First Line : 2700 E BROAD ST
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5899
Country : US
Telephone Number : 682-622-7199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2007
Last Update Date : 01/17/2026

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