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NPI Code Detail

MEDICARE: TOMAS GARCIA MD PA

MEDICARE: TOMAS GARCIA MD PA
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
12085R0202XDiagnostic Radiology PhysicianK8751TX

General Provider Information

NPI Number : 1710989017
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOMAS GARCIA MD PA
Provider Business Mailing Address
First Line : 10700 MCPHERSON AVE
Second Line :
City : LAREDO
State : TX
Zip : 78045-6268
Country : US
Telephone Number : 956-523-2098
Fax Number :
Provider Business Practice Location Address
First Line : 10700 MCPHERSON AVE
Second Line :
City : LAREDO
State : TX
Zip : 78045-6268
Country : US
Telephone Number : 956-523-2098
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TOMAS GARCIA
Credential : MD
Telephone Number : 956-523-2098
Provider Enumeration Date : 06/01/2005
Last Update Date : 02/08/2008

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