MEDICARE: DR. SHAWN MARIE 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	171000000X	Military Health Care Provider	0101240228	VA
2	2083P0901X	Public Health & General Preventive Medicine Physician	P9853	TX

General Provider Information

NPI Number	:	1396891511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAWN MARIE GARCIA M.D.

Provider Business Mailing Address
First Line	:	1100 WILFORD HALL LOOP BLDG 4554
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-5638
Country	:	US
Telephone Number	:	210-292-6225
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 WILFORD HALL LOOP, BLDG 4554
Second Line	:	ATTN: 59 MDW/SGHC
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-9908
Country	:	US
Telephone Number	:	210-292-6225
Fax Number	:

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/21/2025

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