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Individual

MR. RAUL S. GARCIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
211 FOUNTAIN CT STE 210, LEXINGTON, KY 40509-2696
(859) 629-7145
(859) 276-5939
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1194
KY
363AM0700X
Medical Physician Assistant
PA1194
KY
363AS0400X
Surgical Physician Assistant
Primary
PA1194
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100098160
KY
Enumeration date
07/05/2006
Last updated
12/18/2025
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