Provider Demographics
NPI:1609151406
Name:GARZA, TINA MINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:MINH
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 1:14034 GRANT RD STE 140
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1346
Mailing Address - Country:US
Mailing Address - Phone:832-361-2152
Mailing Address - Fax:
Practice Address - Street 1:14034 GRANT RD STE 140
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1346
Practice Address - Country:US
Practice Address - Phone:832-361-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX274881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice