Provider Demographics
NPI:1881755460
Name:GARZA, HECTOR D (DDS)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:D
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 1:14147 NACOGDOCHES RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1920
Mailing Address - Country:US
Mailing Address - Phone:210-656-8855
Mailing Address - Fax:210-656-2665
Practice Address - Street 1:14147 NACOGDOCHES RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1920
Practice Address - Country:US
Practice Address - Phone:210-656-8855
Practice Address - Fax:210-656-2665
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice