Provider Demographics
NPI:1962023440
Name:GARCIA MAYA, RAUL FERNANDO (MD)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:FERNANDO
Last Name:GARCIA MAYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2102 TREASURE HILLS BLVD
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE VBMC
Mailing Address - City:HARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-296-1491
Mailing Address - Fax:956-389-4603
Practice Address - Street 1:2102 TREASURE HILLS BLVD
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE VBMC
Practice Address - City:HARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-296-1491
Practice Address - Fax:956-389-4603
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program