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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1235332404 | NPPES |
Texas | Other | 75-2616977-095 | TRICARE |
Texas | MEDICAID | 370028801 | TRICARE |
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