Provider Demographics
NPI:1174703284
Name:JAN GARCIA, JR., M.D., P.A.
Entity type:Organization
Organization Name:JAN GARCIA, JR., M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-338-2766
Mailing Address - Street 1:333 N TEXAS AVE STE 2200
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4964
Mailing Address - Country:US
Mailing Address - Phone:281-338-2766
Mailing Address - Fax:281-338-1476
Practice Address - Street 1:333 N TEXAS AVE STE 2200
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4964
Practice Address - Country:US
Practice Address - Phone:281-338-2766
Practice Address - Fax:281-338-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8118208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0033BYMedicare PIN
TXC15927Medicare UPIN