Provider Demographics
NPI:1063909208
Name:LEONARDO GARCIA M.D., PA
Entity type:Organization
Organization Name:LEONARDO GARCIA M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:YARETH
Authorized Official - Last Name:ALEJANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-687-3318
Mailing Address - Street 1:2010 S CYNTHIA ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1387
Mailing Address - Country:US
Mailing Address - Phone:956-687-3318
Mailing Address - Fax:956-687-4878
Practice Address - Street 1:2010 S CYNTHIA ST STE 106
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1387
Practice Address - Country:US
Practice Address - Phone:956-687-3318
Practice Address - Fax:956-687-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Multi-Specialty