Provider Demographics
NPI:1104924604
Name:GARCIA, CATALINA ESPERANZA (MD)
Entity type:Individual
Prefix:DR
First Name:CATALINA
Middle Name:ESPERANZA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 821388-314
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75382
Mailing Address - Country:US
Mailing Address - Phone:214-361-5680
Mailing Address - Fax:214-739-2550
Practice Address - Street 1:7622 ROYAL PLACE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:214-361-5680
Practice Address - Fax:214-739-2550
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5999207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP084V3816Medicaid
84V381OtherBLUE CROSS
84V381Medicare ID - Type Unspecified
84V381OtherBLUE CROSS