Individual
RUBEN LUIS GARCIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 SOUTH PALESTINE, SUITE A, ATHENS, TX 75751-5739
(903) 675-9339
(903) 675-9344
Mailing address
1701 SOUTH PALESTINE, SUITE A, ATHENS, TX 75751-5739
(903) 675-9339
(903) 675-9344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F9465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0997686-01
—
TX
01
—
340007216
RAILROAD MEDICARE
TX
01
—
4408768
AETNA
TX
01
—
8856N0
MEDICARE
TX
Enumeration date
08/07/2006
Last updated
04/16/2015
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