Juan Garcia MD PA

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

F5914 Issued in TX

Legal business name

JUAN GARCIA MD PA

Practice address

2401 W Wall St
Midland, TX 79701-6315

Phone

(432) 682-0652

Fax

(432) 682-8081

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Juan Garcia, MD PA

Title

Owner / Physician

Phone

(432) 682-0652

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1679848253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4170",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044170",
            "telephone_number": "432-682-0652",
            "fax_number": "432-682-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016315",
            "telephone_number": "432-682-0652",
            "fax_number": "432-682-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "432-682-0652",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "F5914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATES LICENSE",
            "identifier": "F5914",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Marie Jordan
• Joseph J Shayeb MD LTD
• Joseph Oei MD PA
• Josiah B Tilton MD PA
• JSL Dental, PLLC (Midland Children's Dental Center)
• Veronica Justine Juarez Rodriguez, PTA
• Catarina Juarez
• Genevieve Evette Juarez, FNP
• Julie Ohlman MD LP
• Julie R Ohlman MD PA

• Substance Use Disorder Rehabilitation Clinic/Center in Midland, TX
• Providers in Midland, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.