Provider Demographics
NPI:1194805440
Name:GARCIA -CASAL, XIOMARA CARMEN (MD)
Entity type:Individual
Prefix:MRS
First Name:XIOMARA
Middle Name:CARMEN
Last Name:GARCIA -CASAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XIOMARA
Other - Middle Name:CARMEN
Other - Last Name:GARCIA CASAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS WAY # 512-03
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS WAY # 512-03
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0409208000000X
ARE-50522080P0202X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5N719OtherBCBS
06120015200OtherQUALCHOICE
5N719Medicare PIN
I52229Medicare UPIN
5N719OtherBCBS