Provider Demographics
NPI:1649364829
Name:TORIBIO R GARCIA MD MBA RPH
Entity type:Organization
Organization Name:TORIBIO R GARCIA MD MBA RPH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TORIBIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD MBA RPH
Authorized Official - Phone:361-851-0333
Mailing Address - Street 1:3302 SOUTH ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1821
Mailing Address - Country:US
Mailing Address - Phone:361-851-0333
Mailing Address - Fax:361-851-5160
Practice Address - Street 1:3302 SOUTH ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1821
Practice Address - Country:US
Practice Address - Phone:361-851-0333
Practice Address - Fax:361-851-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8122208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84A919OtherBLUE CROSS BLUE SHIELD
TX84A919OtherBLUE CROSS BLUE SHIELD
C15901Medicare UPIN