Provider Demographics
NPI:1275691271
Name:GARZA, ANTHONY SCOT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:SCOT
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 1:19754 STATE HIGHWAY 249
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3102
Mailing Address - Country:US
Mailing Address - Phone:281-970-6766
Mailing Address - Fax:281-970-6866
Practice Address - Street 1:19754 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3102
Practice Address - Country:US
Practice Address - Phone:281-970-6766
Practice Address - Fax:281-970-6866
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX177961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice