Provider Demographics
NPI:1326573056
Name:GARZA, RICARDO JR (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 DAVIS LN BLDG A102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-4061
Mailing Address - Country:US
Mailing Address - Phone:512-838-3118
Mailing Address - Fax:
Practice Address - Street 1:5301 DAVIS LN BLDG A102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-4061
Practice Address - Country:US
Practice Address - Phone:512-838-3118
Practice Address - Fax:512-838-3109
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345251223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery