Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1583 | TX |
Y | 222Z00000X | Podiatrist | 1583 | TX |
N | 213EP1101X | Primary Podiatric Medicine | 1583 | TX |
N | 2081S0010X | Sports Medicine | 1583 | TX |
N | 213ES0000X | Sports Medicine | 1583 | TX |
N | 213ES0131X | Foot Surgery | 1583 | TX |
NPI | 1326046590 |
---|---|
Provider Name | Dr. Alex W Garcia |
First Address | Irving, TX 75061-2219 |
Second Address | Irving, TX 75062-6207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 02/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1549826 04 | (05) | TX |
154982601 | (05) | TX |
5416760001 | MEDICARE RAILROAD PTAN (01) | |
8V4730 | BCBS ID (01) | TX |
U91704 | (02) | TX |