Individual
GRETCHEN ANN ORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1100 BLUEBONNET CIR, ENNIS, TX 75119-7501
(469) 688-8161
Mailing address
1100 BLUEBONNET CIR, ENNIS, TX 75119-7501
(469) 688-8161
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99336
TX
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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