Organization
PREMIER PAIN CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS J GARCIA MD (PHYSICIAN)
(940) 323-9404
Entity
Organization
Contact information
Practice address
2435 W OAK ST, SUITE 103, DENTON, TX 76201-2308
(940) 323-9404
(940) 323-9422
Mailing address
PO BOX 50689, DENTON, TX 76206-0689
(940) 323-9404
(940) 323-9422
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
H2060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083HQ
BCBS GROUP NUMBER
TX
Enumeration date
04/10/2007
Last updated
10/06/2011
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