Healthcare Provider Details

I. General information

NPI: 1285907725
Provider Name (Legal Business Name): GARZA, GARCIA & GARCIA DENTISTRY PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 02/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 COYOTE TRL
ALICE TX
78332-4004
US

IV. Provider business mailing address

750 COYOTE TRL
ALICE TX
78332-4004
US

V. Phone/Fax

Practice location:
  • Phone: 361-668-3384
  • Fax: 361-668-6191
Mailing address:
  • Phone: 361-668-3384
  • Fax: 361-668-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA GARZA
Title or Position: ADMINISTRATOR
Credential:
Phone: 361-668-3384