Organization Active NPI

Mark Garcia Dermatology PLLC

Doing business as South Texas Dermatology Center

  • Procedural Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1588742969
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
MARK GARCIA DERMATOLOGY PLLC
Doing business as
South Texas Dermatology Center
Practice address
7307 S Yale Ave Ste 101
Tulsa, OK 74136-7134
Phone
(918) 922-9779
Fax
(918) 205-6349
NPI assigned
Nov 1, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Mark David Garcia, DONPI 1447278262
Title
President
Phone
(918) 922-9779

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
Procedural Dermatology Physician 207NS0135X TX Primary

Addresses

Primary practice location

7307 S Yale Ave Ste 101
Tulsa, OK 74136-7134

Mailing address

7307 S Yale Ave Ste 101
Tulsa, OK 74136-7134
Phone (918) 922-9779

Other identifiers 1

IdentifierTypeStateIssuer
6851OtherOKSTATE LIC.

Other names 1

  • South Texas Dermatology Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129001254 OK Part B Supplier - Clinic/Group Practice 6709884422 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2660 E Common St
Ste 104
New Braunfels, TX 78130
Phone (830) 626-7902

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1588742969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 S YALE AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367134",
            "telephone_number": "918-922-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 S YALE AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367134",
            "telephone_number": "918-922-9779",
            "fax_number": "918-205-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GARCIA DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-922-9779",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.",
            "identifier": "6851",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Texas Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.