Provider Demographics
NPI:1306414255
Name:SENAIDO H GARZA DDS
Entity Type:Organization
Organization Name:SENAIDO H GARZA DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SENAIDO
Authorized Official - Middle Name:H
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-968-7591
Mailing Address - Street 1:901 E 6TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6449
Mailing Address - Country:US
Mailing Address - Phone:956-968-7591
Mailing Address - Fax:956-520-7099
Practice Address - Street 1:901 E 6TH ST STE 4
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6449
Practice Address - Country:US
Practice Address - Phone:956-968-7591
Practice Address - Fax:956-520-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284527306Medicaid