MEDICARE: JULIO GARCIA MD LTD.

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	208200000X	Plastic Surgery Physician	NV5672	NV

General Provider Information

NPI Number	:	1386834885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIO GARCIA MD LTD.

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	:	PRESIDENT
Name	:	DR. JULIO GARCIA
Credential	:	MD
Telephone Number	:	702-870-0058

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	10/06/2020

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