Garza, Kenneth M

Garza, Kenneth M is an individual health care provider with primary practice located at 2100 Hedgcoxe Rd Suite 140, Plano TX 75025-3104. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Garza, Kenneth M can be contacted via phone (469) 323-1927.

Contact Information

Primary practice address
2100 Hedgcoxe Rd Suite 140 Plano TX 75025-3104
Phone: (469) 323-1927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 05904TG Texas

Profile Details

NPI number 1043209448
LBN Legal business name Garza, Kenneth M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 16th, 2010 - 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 1043209448 NPPES
Texas Other P00144950 RAILROAD MEDICARE
Texas Other 1043209448 RAILROAD MEDICARE
Texas MEDICAID 143476302 RAILROAD MEDICARE

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