Provider Demographics
NPI:1235247495
Name:GARZA, DANIEL NORMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NORMAN
Last Name:GARZA
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:PO BOX 1480
Mailing Address - Street 2:
Mailing Address - City:GOLIAD
Mailing Address - State:TX
Mailing Address - Zip Code:77963-1480
Mailing Address - Country:US
Mailing Address - Phone:361-645-2381
Mailing Address - Fax:361-645-3996
Practice Address - Street 1:317 S MARKET ST
Practice Address - Street 2:
Practice Address - City:GOLIAD
Practice Address - State:TX
Practice Address - Zip Code:77963-4303
Practice Address - Country:US
Practice Address - Phone:361-645-2381
Practice Address - Fax:361-645-3996
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice