Provider Demographics
NPI:1578797874
Name:GARZA, ROSARIO D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSARIO
Middle Name:D
Last Name:GARZA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 FULTON ST
Mailing Address - Street 2:SUITE 'D'
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-4766
Mailing Address - Country:US
Mailing Address - Phone:713-692-2627
Mailing Address - Fax:713-692-1823
Practice Address - Street 1:4000 FULTON ST
Practice Address - Street 2:SUITE 'D'
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-4766
Practice Address - Country:US
Practice Address - Phone:713-692-2627
Practice Address - Fax:713-692-1823
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX177971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice