De La Garza, Ricardo Jose

De La Garza, Ricardo Jose is an individual health care provider with primary practice located at 9514 Potranco Rd. , San Antonio TX 78251. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. De La Garza, Ricardo Jose can be contacted via phone (210) 680-8080.

Contact Information

Primary practice address
9514 Potranco Rd. San Antonio TX 78251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 20537 Texas

Profile Details

NPI number 1750386868
LBN Legal business name De La Garza, Ricardo Jose
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750386868 NPPES
Texas MEDICAID 144754201

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