NPIMap

Organization Active NPI

Memorial Oral and Maxillofacial Surgery of Katy/Fulshear

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Katy, TX
National Provider Identifier
1255855839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
27084 Issued in TX
Legal business name
MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR
Practice address
10605 Spring Green Blvd Ste 200
Katy, TX 77494-3595
Phone
(281) 394-2933
Fax
(281) 715-4440
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rodolfo Garza, DDS, MDNPI 1447540638
Title
Doctor
Phone
(281) 394-2933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 27084 TX Primary

Addresses

Primary practice location

10605 Spring Green Blvd Ste 200
Katy, TX 77494-3595

Mailing address

10605 Spring Green Blvd Ste 200
Katy, TX 77494-3595
Phone (281) 394-2933

Other names 1

  • Brazos Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

10605 Spring Green Blvd
Ste 200
Katy, TX 77494
Phone (281) 394-2933

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255855839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943595",
            "telephone_number": "281-394-2933",
            "fax_number": "281-715-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943595",
            "telephone_number": "281-394-2933",
            "fax_number": "281-715-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-394-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "27084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazos Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.