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NPI Code Detail

MEDICARE: MAURICIO DANIEL GARCIA JACQUES M.D.

MEDICARE:   MAURICIO DANIEL GARCIA JACQUES  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
1207LP2900XPain Medicine (Anesthesiology) PhysicianP8904TX
2207L00000XAnesthesiology PhysicianP8904TX
3207LP2900XPain Medicine (Anesthesiology) Physician122742OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1498517OTHERTXPTAN

General Provider Information

NPI Number : 1649581109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURICIO DANIEL GARCIA JACQUES M.D.
Provider Business Mailing Address
First Line : 14511 FALLING CREEK DR STE 402
Second Line :
City : HOUSTON
State : TX
Zip : 77014-1282
Country : US
Telephone Number : 832-930-3589
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP, DEPT OF ANESTHESIA, 4TH FL.
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-2860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2010
Last Update Date : 03/23/2026

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