Basic Information
| Provider Information | |||||||||
| NPI: | 1750374062 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA-SEAY | ||||||||
| FirstName: | LETICIA | ||||||||
| MiddleName: | |||||||||
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| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | GARCIA-DELPINO | ||||||||
| OtherFirstName: | LETICIA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 503 MEDICAL CENTER BLVD | ||||||||
| Address2: | STE. 100 | ||||||||
| City: | CONROE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773042928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9367881060 | ||||||||
| FaxNumber: | 9367882844 | ||||||||
| Practice Location | |||||||||
| Address1: | 503 MEDICAL CENTER BLVD. | ||||||||
| Address2: | STE. 100 | ||||||||
| City: | CONROE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773042809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9367881060 | ||||||||
| FaxNumber: | 9367882844 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2005 | ||||||||
| LastUpdateDate: | 05/16/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | K2023 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 080132348 | 01 | TX | RAILROAD MEDICARE | OTHER | 8956N0 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 092252803 | 05 | TX | MEDICAID | 092252801 | 05 | TX | MEDICAID |