Organization
GARCIA FAMILY MEDICINE & WOMEN'S HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA C GARCIA MD (DIRECTOR)
(816) 867-2065
Entity
Organization
Contact information
Practice address
201 S MAIN ST, SUITE A, GRAIN VALLEY, MO 64029-9703
(816) 867-2065
(888) 807-2718
Mailing address
201 S MAIN ST, SUITE A, GRAIN VALLEY, MO 64029-9703
(816) 867-2065
(888) 807-2718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023213220
GFMWH NPI
MO
01
—
1275549974
GARCIA NPI
MO
01
—
2000160495
LICENSE #
MO
05
—
205021918
—
MO
Enumeration date
06/18/2007
Last updated
02/07/2013
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