Individual
TRAVIS G ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD.
Contact information
Practice address
5402 SW LEE BLVD., LAWTON, OK 73505
(580) 531-0022
(580) 531-0026
Mailing address
5402 SW LEE BLVD., LAWTON, OK 73505
(580) 531-0022
(580) 531-0026
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
230
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100669730A
—
OK
Enumeration date
06/01/2005
Last updated
12/15/2011
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