# ANTONIO M ORTEGA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003136201
- **Authorized official:** DR. ANTONIO M ORTEGA MD (OWNER)
- **Authorized official phone:** (915) 544-9969

## Contact information

- **Practice address:** 1400 N EL PASO ST STE D, EL PASO, TX 79902-3438
- **Practice address phone:** (915) 544-9969
- **Mailing address:** 7101 N MESA ST PMB 300, EL PASO, TX 79912-3613
- **Mailing address phone:** (915) 544-9969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 09/24/2010