Individual
RUBEN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
8304 SHAVER DR, EL PASO, TX 79925-4907
(214) 227-2457
(214) 764-0880
Mailing address
3905 MELCER DR STE 601, ROWLETT, TX 75088-4033
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
SA00086
TX
246ZC0007X
Surgical Assistant
Primary
SA00086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009JR
BCBS
TX
01
—
177495600
US DEPT OF LABOR
TX
Enumeration date
01/30/2007
Last updated
07/08/2022
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