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Organization

JUAN GARCIA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN GARCIA MD PA (OWNER / PHYSICIAN)
(432) 682-0652
Entity
Organization

Contact information

Practice address
2401 W WALL ST, MIDLAND, TX 79701-6315
(432) 682-0652
(432) 682-8081
Mailing address
PO BOX 4170, MIDLAND, TX 79704-4170
(432) 682-0652
(432) 682-8081

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
F5914
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F5914
STATES LICENSE
TX
Enumeration date
03/15/2012
Last updated
05/22/2013
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