Provider Demographics
NPI:1760557458
Name:GARZA, ANTHONY C (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:C
Last Name:GARZA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 EAST SINTON ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387
Mailing Address - Country:US
Mailing Address - Phone:361-364-4410
Mailing Address - Fax:361-364-3309
Practice Address - Street 1:620 EAST SINTON ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387
Practice Address - Country:US
Practice Address - Phone:361-364-4410
Practice Address - Fax:361-364-3309
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110922502Medicaid