Active NPI
Raul Garcia, PA-C
- Medical Physician Assistant
- Mission, TX
National Provider Identifier
1104411966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14377
- Practice address
- 1512 E Griffin Pkwy Ste 2
Mission, TX 78572-2422 - Phone
- (956) 519-7088
- NPI assigned
- Mar 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA14377 | TX | |
| Medical Physician Assistant | 363AM0700X | PA14377 | TX | Primary |
Addresses
Primary practice location
1512 E Griffin Pkwy Ste 2
Mission, TX 78572-2422
Mailing address
PO Box 721
Penitas, TX 78576-0721
Phone (956) 537-8654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mario R Anzaldua MD PA | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Family Medicine | Past | Accepting new patients |
Locations
1512 E Griffin Pkwy
Ste 2
Mission, TX 78572
Phone (956) 519-7088
Interoperability endpoints
- raulgarcia@jtjs.ssdirect.aprima.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- McAllen, TX
- NPI 1982657870
-
- Urgent Care Clinic/Center
- McAllen, TX
- NPI 1457206468
-
- Family Medicine Physician
- McAllen, TX
- NPI 1396690301
-
- Urgent Care Clinic/Center
- McAllen, TX
- NPI 1881995884
-
- Family Medicine Physician
- Mission, TX
- NPI 1740626340
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1104411966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721",
"city": "PENITAS",
"state": "TX",
"postal_code": "785760721",
"telephone_number": "956-537-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 E GRIFFIN PKWY STE 2",
"city": "MISSION",
"state": "TX",
"postal_code": "785722422",
"telephone_number": "956-519-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RAUL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "PA14377",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA14377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.