Wilson J. Garcia, M.D. , P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

E4845 Issued in TX

Legal business name

WILSON J. GARCIA, M.D. , P.A.

Practice address

1201 5TH Ave
Fort Worth, TX 76104-4304

Phone

(817) 332-2784

Fax

(817) 338-9014

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Wilson J Garcia, M.D.

Title

Owner

Phone

(817) 332-2784

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1295064830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044304",
            "telephone_number": "817-332-2784",
            "fax_number": "817-338-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044304",
            "telephone_number": "817-332-2784",
            "fax_number": "817-338-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON J. GARCIA, M.D. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-332-2784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "E4845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922030766",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Wills
• Corey Wills
• Martha Pauline Wills, M.D., F.A.C.S., P.A.
• Sheryl Lynn Willyerd, RN
• Lawrence Scott Wilner, D.O.
• Aimee Wilson, MD
• Anna Wilson, RBT
• Anna Wilson
• Benjamin Wilson, D.O.
• Beth R Wilson, S.L.P

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.