Garcia, Jorge Ivan

Garcia, Jorge Ivan is an individual health care provider with primary practice located at 910 E Houston St Ste 330, Tyler TX 75702-8369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Garcia, Jorge Ivan can be contacted via phone (903) 525-7995.

Contact Information

Primary practice address
910 E Houston St Ste 330 Tyler TX 75702-8369
Phone: (903) 525-7995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 16632 Puerto Rico
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X N3043 Texas

Profile Details

NPI number 1235332404
LBN Legal business name Garcia, Jorge Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Feb 27th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235332404 NPPES
Texas Other 75-2616977-095 TRICARE
Texas MEDICAID 370028801 TRICARE

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