Provider Demographics
NPI:1942940242
Name:DE LA GARZA, FAITH DENISE (RDH, BSDH, OMT)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:DENISE
Last Name:DE LA GARZA
Suffix:
Gender:F
Credentials:RDH, BSDH, OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SONATA DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3845
Mailing Address - Country:US
Mailing Address - Phone:210-488-3217
Mailing Address - Fax:
Practice Address - Street 1:231 SONATA DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3845
Practice Address - Country:US
Practice Address - Phone:210-488-3217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist