Provider Demographics
NPI:1871547596
Name:GARCIA, ELVIN R (MD)
Entity type:Individual
Prefix:MR
First Name:ELVIN
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4484
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4484
Mailing Address - Country:US
Mailing Address - Phone:956-630-2114
Mailing Address - Fax:956-630-2155
Practice Address - Street 1:811 E FERN AVE STE 1
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1401
Practice Address - Country:US
Practice Address - Phone:956-630-2114
Practice Address - Fax:956-630-2155
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9538207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0966582/02Medicaid
TXP00348769OtherRAILROAD MEDICARE
TXP00348769OtherRAILROAD MEDICARE
TX8E0300Medicare PIN