# MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brazos Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255855839
- **Authorized official:** DR. RODOLFO GARZA DDS, MD (DOCTOR)
- **Authorized official phone:** (281) 394-2933

## Contact information

- **Practice address:** 10605 SPRING GREEN BLVD STE 200, KATY, TX 77494-3595
- **Practice address phone:** (281) 394-2933
- **Practice address fax:** (281) 715-4440
- **Mailing address:** 10605 SPRING GREEN BLVD STE 200, KATY, TX 77494-3595
- **Mailing address phone:** (281) 394-2933
- **Mailing address fax:** (281) 715-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 27084 | TX | Yes |

## Other

- **Enumeration date:** 07/26/2017
- **Last updated:** 07/21/2022