Garcia, John Thaddeus
Garcia, John Thaddeus is an individual health care provider with primary practice located at 601 E. 7Th Sreet , Odessa TX 79761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garcia, John Thaddeus can be contacted via phone (432) 582-0300.Contact Information
Primary practice address
601 E. 7Th Sreet
Odessa TX 79761
Phone: (432) 582-0300
Fax: (432) 582-0306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J6447 | Texas |
Profile Details
| NPI number | 1275683484 |
|---|---|
| LBN Legal business name | Garcia, John Thaddeus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275683484 | NPPES |
| Texas | Other | 89C710 | BCBS |
| Texas | MEDICAID | 129993503 | BCBS |
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