Basic Information
Provider Information
NPI: 1184288425
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: BRIAN
MiddleName: ALEXANDER
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 4502 MEDICAL DR # MC7977
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294402
CountryCode: US
TelephoneNumber: 2103584000
FaxNumber:  
Practice Location
Address1: 4502 MEDICAL DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294402
CountryCode: US
TelephoneNumber: 2103584000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2019
LastUpdateDate: 10/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XT7925TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000XT7925TXY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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