Individual
JORGE IVAN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E HOUSTON ST, STE 330, TYLER, TX 75702-8369
(903) 525-7995
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
16632
PR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N3043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370028801
—
TX
01
—
75-2616977-095
TRICARE
TX
Enumeration date
06/06/2007
Last updated
02/27/2023
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