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Jose Luis Garcia

Family Medicine

Allopathic & Osteopathic Physicians

900 W Magnolia Ave Ste 201, Fort Worth, TX 76104

PECOS Enrollment

This provider is enrolled in PECOS as JOSE GARCIA.

Based on the most recent information from CMS, provider Jose Luis Garcia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1538665435
Provider Type
Individual
Full Name
Garcia, Jose Luis
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/1/2018
Last Updated
9/14/2022

Contact Information

Practice Location

900 W Magnolia Ave Ste 201, Fort Worth, TX 76104

(817) 921-6166

Unlisted Fax

Mailing Location

900 W Magnolia Ave, Fort Worth, TX 76104-8517

(817) 921-6166

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License T0488 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jose Luis Garcia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Health Texas Provider Network-Family Practice Of North Texas Llp

Jackson, Masheika S

Cahill, Timothy

Galvez, Adeline

Edwards, Ricky D

Texas Health Care, P.L.L.C.

Akinmerese, Olawale Opeyemi

Morgado Perez, Andres

Matonda, Winfred Kemunto

Dr. Samuel C. Lee, Pa