MEDICARE: JESUS ANGEL GARCIA P.A.-C

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
1	207Q00000X	Family Medicine Physician	PA07246	TX

General Provider Information

NPI Number	:	1992003552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESUS ANGEL GARCIA P.A.-C

Provider Business Mailing Address
First Line	:	409 W FM 495 STE A
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-3717
Country	:	US
Telephone Number	:	956-223-4052
Fax Number	:	956-658-7147

Provider Business Practice Location Address
First Line	:	409 W FM 495 STE A
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-3717
Country	:	US
Telephone Number	:	956-223-4052
Fax Number	:	956-658-7147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	07/16/2025

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