Individual ProviderAbraham Villa GarciaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDepartment Of Psychiatry 3601 Street - Stop 6207, Lubbock, TX 79430-0001(806) 743-6744PECOS EnrollmentBased on the most recent information from CMS, provider Abraham Villa Garcia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1356190557Provider TypeIndividualFull NameGarcia, Abraham VillaCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/18/2024Last Updated5/18/2024Contact InformationPractice LocationPractice AddressDepartment Of Psychiatry 3601 Street - Stop 6207, Lubbock, TX 79430-0001Phone(806) 743-6744FaxUnlisted FaxMailing LocationMailing AddressDepartment Of Psychiatry 3601 4th Street - Stop 6207, Lubbock, TX 79430-0001Phone(806) 743-6744FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense786422Texas