Individual
GABRIEL RENE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1201 E SCHUSTER AVE STE 5B, EL PASO, TX 79902-4676
(915) 544-3229
(915) 544-3091
Mailing address
1201 E SCHUSTER AVE STE 5B, EL PASO, TX 79902-4676
(915) 544-3229
(915) 544-3091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00764
TEXAS MEDICAL BOARD
TX
Enumeration date
03/22/2012
Last updated
03/22/2012
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