Provider Demographics
NPI:1013030410
Name:GARZA, RICARDO MAURO JR (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:MAURO
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S MASON RD
Mailing Address - Street 2:#102
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3934
Mailing Address - Country:US
Mailing Address - Phone:281-693-3200
Mailing Address - Fax:281-693-6303
Practice Address - Street 1:1150 S MASON RD
Practice Address - Street 2:#102
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3934
Practice Address - Country:US
Practice Address - Phone:281-693-3200
Practice Address - Fax:281-693-6303
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX194981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics