Organization Active NPI

Jan Garcia, Jr., M.D., P.a.

  • Plastic Surgery Physician
  • Webster, TX
National Provider Identifier
1174703284
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
F8118 Issued in TX
Legal business name
JAN GARCIA, JR., M.D., P.A.
Practice address
333 N Texas Ave Ste 2200
Webster, TX 77598-4964
Phone
(281) 338-2766
Fax
(281) 338-1476
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jan Garcia Jr., M.D.NPI 1962478933
Title
President
Phone
(281) 338-2766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X F8118 TX Primary

Addresses

Primary practice location

333 N Texas Ave Ste 2200
Webster, TX 77598-4964

Mailing address

333 N Texas Ave Ste 2200
Webster, TX 77598-4964
Phone (281) 338-2766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308001182 TX Part B Supplier - Clinic/Group Practice 4183512429 Receives reassigned benefits from 1 practitioner
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Locations

350 N Texas Ave
Ste D
Webster, TX 77598
Phone (281) 338-2766

333 N Texas Ave
Ste 2200
Webster, TX 77598
Phone (281) 338-2766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1174703284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N TEXAS AVE STE 2200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984964",
            "telephone_number": "281-338-2766",
            "fax_number": "281-338-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N TEXAS AVE STE 2200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984964",
            "telephone_number": "281-338-2766",
            "fax_number": "281-338-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN GARCIA, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-338-2766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "F8118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.