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NPI Code Detail

MEDICARE: ELENA B GARCIA M.D.

MEDICARE: ELENA B 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
1207Q00000XFamily Medicine Physician11464NV

General Provider Information

NPI Number : 1699771204
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA B GARCIA M.D.
Provider Business Mailing Address
First Line : 10120 W FLAMINGO RD STE 4-142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8392
Country : US
Telephone Number : 702-739-9555
Fax Number : 702-739-9060
Provider Business Practice Location Address
First Line : 366 W LAKE MEAD PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7287
Country : US
Telephone Number : 702-359-5210
Fax Number : 702-997-0475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/17/2021

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Directions to “ ELENA B GARCIA M.D.” Practice Location

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