Provider Demographics
NPI:1255968582
Name:GARCIA, J ANTHONY (DO)
Entity type:Individual
Prefix:
First Name:J ANTHONY
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:ANTHONY
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:3820 S HUALAPAI WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-5734
Mailing Address - Country:US
Mailing Address - Phone:702-960-4150
Mailing Address - Fax:702-960-5154
Practice Address - Street 1:7425 W AZURE DR STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-4425
Practice Address - Country:US
Practice Address - Phone:702-960-4150
Practice Address - Fax:702-960-4154
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO39022081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine