Provider Demographics
NPI:1215947973
Name:SOMOZA, FRANCISCO JOSE (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:SOMOZA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 SW MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221
Mailing Address - Country:US
Mailing Address - Phone:210-928-2814
Mailing Address - Fax:210-928-2364
Practice Address - Street 1:2901 CAPITAL OF TEXAS HIGHWAY
Practice Address - Street 2:#A2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-328-4867
Practice Address - Fax:512-328-1642
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18771223G0001X
TX275841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice