Individual
MS. REGINA DEANNA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4770 N EXPRESSWAY, SUITE 104, BROWNSVILLE, TX 78526-4165
(956) 350-0874
Mailing address
4770 N EXPRESSWAY, SUITE 104, BROWNSVILLE, TX 78526-4165
(956) 350-0874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02581
TX
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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