Organization
KATHIA A. ORTIZ-CANTILLO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE CLARK (PRACTICE MANAGER)
(210) 692-9400
Entity
Organization
Contact information
Practice address
4410 MEDICAL DR, SUITE 440, SAN ANTONIO, TX 78229-6306
(210) 692-9400
(210) 692-9601
Mailing address
4410 MEDICAL DR, SUITE 440, SAN ANTONIO, TX 78229-6306
(210) 692-9400
(210) 692-9601
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD2006-0058
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033SD
BCBS
TX
05
—
202073701
—
TX
01
—
DO8282
RAILROAD MEDICARE
TX
01
—
OA3250
MEDICARE NUMBER
TX
Enumeration date
09/10/2008
Last updated
07/28/2009
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