Provider Demographics
NPI:1194929489
Name:GARCIA-PITTMAN, ERICA CRISTINA (MD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:CRISTINA
Last Name:GARCIA-PITTMAN
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 1:1601 RIO GRANDE ST STE 340
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1162
Mailing Address - Country:US
Mailing Address - Phone:512-324-2080
Mailing Address - Fax:512-324-2084
Practice Address - Street 1:3501 MILLS AVE
Practice Address - Street 2:AMEP - AUSTIN PSYCHIATRIC RESIDENCY PROGRAM
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6309
Practice Address - Country:US
Practice Address - Phone:512-324-2080
Practice Address - Fax:512-324-2084
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM40802084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208653002Medicaid
TX8CH501OtherBCBS
TX208653001Medicaid
TX208653002Medicaid
TX8CH501OtherBCBS