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NPI Code Detail

MEDICARE: RICHARD GARCIA JR.

MEDICARE: RICHARD GARCIA JR.
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
1175T00000XPeer SpecialistOK

General Provider Information

NPI Number : 1922955863
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD GARCIA JR.
Provider Business Mailing Address
First Line : 24962 OKAY RD
Second Line :
City : TECUMSEH
State : OK
Zip : 74873-6504
Country : US
Telephone Number : 405-915-4219
Fax Number :
Provider Business Practice Location Address
First Line : 24962 OKAY RD
Second Line :
City : TECUMSEH
State : OK
Zip : 74873-6504
Country : US
Telephone Number : 405-915-4219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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