1023167129 NPI number — OSCAR J GARCIA MD PA

Table of content: (NPI 1023167129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023167129 NPI number — OSCAR J GARCIA MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OSCAR J GARCIA MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023167129
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4609
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78502-4609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-583-0205
Provider Business Mailing Address Fax Number:
512-583-2001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2717 MICHAEL ANGELO
Provider Second Line Business Practice Location Address:
RADIATION ONCOLOGY DEPT
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539-1408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-217-7050
Provider Business Practice Location Address Fax Number:
956-217-7099
Provider Enumeration Date:
01/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
OSCAR
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
956-217-7050

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DG0153 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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