MEDICARE: DR. JESSICA GARCIA D.O.

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	P1180	TX
2	207Q00000X	Family Medicine Physician	P1180	TX

General Provider Information

NPI Number	:	1356501076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA GARCIA D.O.

Provider Business Mailing Address
First Line	:	PO BOX 746079
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6079
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11600 FM 1960 RD W STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3516
Country	:	US
Telephone Number	:	281-720-8639
Fax Number	:

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

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	05/14/2025

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