MEDICARE: ALEJANDRO GARCIA II MD

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	L7385	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0031MT	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1346217643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO GARCIA II MD

Provider Business Mailing Address
First Line	:	4315 MOONLIGHT WAY
Second Line	:	SUITE 102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1688
Country	:	US
Telephone Number	:	210-558-1558
Fax Number	:	210-558-1814

Provider Business Practice Location Address
First Line	:	4315 MOONLIGHT WAY
Second Line	:	SUITE 102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1690
Country	:	US
Telephone Number	:	210-558-1558
Fax Number	:	210-558-1814

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	07/10/2008

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