Organization
DR. ROEL GARZA AND ASSOCIATES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROEL GARZA D.D.S. (OWNER)
(361) 668-3384
Entity
Organization
Contact information
Practice address
750 COYOTE TRL, ALICE, TX 78332-4004
(361) 668-3384
(361) 668-6191
Mailing address
750 COYOTE TRL, ALICE, TX 78332-4004
(361) 668-3384
(361) 668-6191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87D471
BCBS
TX
01
—
886411
UNITED CONCORDIA
TX
Enumeration date
03/15/2007
Last updated
08/22/2020
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