Provider Demographics
NPI:1093719494
Name:ARTAZA, HUGO EDUARDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:EDUARDO
Last Name:ARTAZA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21510 KINGSLAND BLVD.
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-492-1985
Mailing Address - Fax:281-492-2005
Practice Address - Street 1:21510 KINGSLAND BLVD.
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2709
Practice Address - Country:US
Practice Address - Phone:281-492-1985
Practice Address - Fax:281-492-2005
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX131661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice