Individual
DR. WILSON JOSE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 5TH AVE, FORT WORTH, TX 76104
(817) 332-2784
(817) 338-9014
Mailing address
1201 5TH AVE, FORT WORTH, TX 76104
(817) 332-2784
(817) 338-9014
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E4845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10015401
—
TX
Enumeration date
07/06/2006
Last updated
07/08/2007
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