MEDICARE: DR. PAMELA 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	207Q00000X	Family Medicine Physician	H0370	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82T244	OTHER	TX	BCBSTX PROVIDER NUMB
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	V0064386	OTHER	TX	DPS NUMBER
5	H0370	OTHER	TX	MEDICAL LICENSE
6	45D0505324	OTHER	TX	CLIA

General Provider Information

NPI Number	:	1568410017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA GARCIA M.D.

Provider Business Mailing Address
First Line	:	1101 W 40TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3609
Country	:	US
Telephone Number	:	512-459-4147
Fax Number	:	512-459-9134

Provider Business Practice Location Address
First Line	:	1101 W 40TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3609
Country	:	US
Telephone Number	:	512-459-4147
Fax Number	:	512-459-9134

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	03/07/2023

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