Individual
MARTHA LORENZA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3508 FAR WEST BLVD, AUSTIN, TX 78731-3080
(512) 828-3990
Mailing address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
986835
TX
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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