Individual
ENRIQUE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 WATER ST, PLEASANTON, TX 78064
(830) 569-5030
Mailing address
130 WATER ST, PLEASANTON, TX 78064
(830) 569-5030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F1025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00937T
MEDICARE ID
TX
05
—
127126401
—
TX
05
—
127126406
—
TX
Enumeration date
09/07/2006
Last updated
05/14/2009
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