MEDICARE: DR. THERESA C GARCIA MD, FAAFP, DABOM

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
1	207Q00000X	Family Medicine Physician	2000160495	MO

General Provider Information

NPI Number	:	1275549974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THERESA C GARCIA MD, FAAFP, DABOM

Provider Business Mailing Address
First Line	:	801 NW SAINT MARY DR STE 209
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-330-7575
Fax Number	:	888-807-5661

Provider Business Practice Location Address
First Line	:	801 NW SAINT MARY DR STE 209
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-330-7575
Fax Number	:	888-807-5661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/17/2026

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