Organization
WILSON J. GARCIA, M.D. , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON J GARCIA M.D. (OWNER)
(817) 332-2784
Entity
Organization
Contact information
Practice address
1201 5TH AVE, FORT WORTH, TX 76104-4304
(817) 332-2784
(817) 338-9014
Mailing address
1201 5TH AVE, FORT WORTH, TX 76104-4304
(817) 332-2784
(817) 338-9014
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E4845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155401
—
TX
01
—
1922030766
NPI
—
Enumeration date
12/10/2009
Last updated
04/01/2010
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