Provider Demographics
NPI:1629351267
Name:GARZA JR, OZIEL (SA-C)
Entity Type:Individual
Prefix:
First Name:OZIEL
Middle Name:
Last Name:GARZA JR
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 FLORAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5377
Mailing Address - Country:US
Mailing Address - Phone:281-353-1809
Mailing Address - Fax:281-353-1809
Practice Address - Street 1:2510 FLORAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-5377
Practice Address - Country:US
Practice Address - Phone:281-353-1809
Practice Address - Fax:281-353-1809
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11-163246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant