John Garcia MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J6447 Issued in TX

Legal business name

JOHN GARCIA MD PA

Doing business as

West Texas Wellness Clinic

Practice address

601 East 7TH Street
Odessa, TX 79761

Phone

(432) 582-0300

Fax

(432) 582-0306

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

John Thaddeus Garcia, MDNPI 1275683484

Title

Owner

Phone

(432) 582-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Texas Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• John Thaddeus Garcia, M.D.

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1275683484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1568640365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST 7TH STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-582-0300",
            "fax_number": "432-582-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EAST 7TH STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-582-0300",
            "fax_number": "432-582-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THADDEUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-582-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00Y994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Babatunde Adegbite Jinadu, MD, MPH
• Joanna Lynn Riley
• Joe L Wallace, Mdpa
• Joel T. Edwards, DDS PLLC
• John D Bauer MD PLLC
• John H. Doran,M.D., P.L.LC.
• Johnson Anesthesia Associates PA
• Alysia Johnson, NNP
• Annsleigh M Johnson
• Billy Johnson, LPC

• Family Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.