MEDICARE: SOUTH TEXAS INFECTIOUS DISEASES CONSULTANTS, P.A.

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	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558314138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS INFECTIOUS DISEASES CONSULTANTS, P.A.

Provider Business Mailing Address
First Line	:	1200 E RIDGE RD
Second Line	:	SUITE # 8
City	:	MCALLEN
State	:	TX
Zip	:	78503-1527
Country	:	US
Telephone Number	:	956-663-0553
Fax Number	:	956-630-5954

Provider Business Practice Location Address
First Line	:	1200 E RIDGE RD
Second Line	:	SUITE # 8
City	:	MCALLEN
State	:	TX
Zip	:	78503-1527
Country	:	US
Telephone Number	:	956-663-0553
Fax Number	:	956-630-5954

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICARDO F GARCIA
Credential	:	M.D.
Telephone Number	:	956-630-5530

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/07/2014

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