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NPI Code Detail

MEDICARE: MICHAEL ALAN GARCIA O.D.

MEDICARE: MICHAEL ALAN GARCIA O.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
1152W00000XOptometrist2976GA
2152W00000XOptometrist5219FL
3152W00000XOptometrist9409TGTX

General Provider Information

NPI Number : 1891242020
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ALAN GARCIA O.D.
Provider Business Mailing Address
First Line : 3528 PALMER HWY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-6514
Country : US
Telephone Number : 409-916-6010
Fax Number :
Provider Business Practice Location Address
First Line : 3528 PALMER HWY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-6514
Country : US
Telephone Number : 409-916-6010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2016
Last Update Date : 11/08/2020

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