Provider Demographics
NPI:1265846984
Name:OFFOEGBU, ANGELA MARIE GARZA (OD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE GARZA
Last Name:OFFOEGBU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:MARIE
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2810 N LOOP 1604 W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2222
Mailing Address - Country:US
Mailing Address - Phone:210-822-9800
Mailing Address - Fax:210-822-9810
Practice Address - Street 1:2810 N LOOP 1604 W
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-2222
Practice Address - Country:US
Practice Address - Phone:210-822-9800
Practice Address - Fax:210-822-9810
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8405TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist