Individual
MISS VANESSA ORTIZ-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2020
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
30-04-2012-PRO-00039
PR
207W00000X
Ophthalmology Physician
Primary
Q9221
TX
Other
Enumeration date
07/11/2012
Last updated
08/30/2016
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