Garcia, Jose Guadalupe

Garcia, Jose Guadalupe is an individual health care provider with primary practice located at 4060 Medical Park Dr , Odessa TX 79765-2233. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Garcia, Jose Guadalupe can be contacted via phone (432) 582-2882.

Contact Information

Primary practice address
4060 Medical Park Dr Odessa TX 79765-2233
Phone: (432) 582-2882
Fax: (432) 582-2884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08173 Texas

Profile Details

NPI number 1366794463
LBN Legal business name Garcia, Jose Guadalupe
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Jun 20th, 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 1366794463 NPPES
Texas MEDICAID 373243001

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