MEDICARE: DR. JULIO L. GARCIA M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	5672	NV

General Provider Information

NPI Number	:	1326269259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO L. GARCIA M.D.

Provider Business Mailing Address
First Line	:	5735 S FORT APACHE RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5621
Country	:	US
Telephone Number	:	702-870-0058
Fax Number	:	702-870-0068

Provider Business Practice Location Address
First Line	:	5735 S FORT APACHE RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5621
Country	:	US
Telephone Number	:	702-870-0058
Fax Number	:	702-870-0068

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	09/25/2020

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