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Individual

DR. JESUS RENE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
613 RUE DE ONETTA, NEW IBERIA, LA 70563-2164
(337) 367-6776
(337) 367-7330
Mailing address
613 RUE DE ONETTA, NEW IBERIA, LA 70563-2164
(337) 367-6776
(337) 367-7330

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09677R
LA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
09677R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1966479
LA
Enumeration date
01/11/2006
Last updated
08/03/2010
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