Individual
DR. KENNETH M GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2100 HEDGCOXE RD, SUITE 140, PLANO, TX 75025-3104
(469) 323-1927
Mailing address
2100 HEDGCOXE RD, SUITE 140, PLANO, TX 75025-3104
(469) 323-1927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05904TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043209448
PALMETTO GBA
TX
05
—
143476302
—
TX
01
—
P00144950
RAILROAD MEDICARE
TX
Enumeration date
10/18/2005
Last updated
02/16/2010
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