Active NPI
Raul R Garcia, M.D.
- Urology Physician
- Pasadena, TX
National Provider Identifier
1679573000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G7810
- Practice address
- 3326 Watters Rd
BLDG C
Pasadena, TX 77504-2020 - Phone
- (713) 944-9170
- Fax
- (713) 944-9310
- NPI assigned
- Jul 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G7810 | TX | Primary |
Addresses
Primary practice location
3326 Watters Rd
BLDG C
Pasadena, TX 77504-2020
Mailing address
4502 Sao Paulo
Pasadena, TX 77504-2414
Phone (713) 947-9625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115050001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Urology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1679573000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 SAO PAULO",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042414",
"telephone_number": "713-947-9625",
"fax_number": "713-947-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 WATTERS RD",
"address_2": "BLDG C",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042020",
"telephone_number": "713-944-9170",
"fax_number": "713-944-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RAUL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "G7810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115050001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.