Organization
NORTH CENTRAL UROLOGY PA
Active
Other names
Dennis L Ortiz DO PA
Organization subpart
No
Provider details
NPI number
Authorized official
J NOVITSKI B.S.B.A. (BUSINESS MANAGER)
(817) 283-1860
Entity
Organization
Contact information
Practice address
4218 GATEWAY DRIVE, SUITE 100, COLLEYVILLE, TX 76034
(817) 283-1860
(817) 283-2175
Mailing address
4218 GATEWAY DRIVE, SUITE 100, COLLEYVILLE, TX 76034
(817) 283-1860
(817) 283-2175
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H0705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170333201
—
TX
05
—
170333202
—
TX
05
—
170333203
—
TX
01
—
DC1932
MEDICARE RR
—
01
—
P00153491
MEDICARE RR
—
Enumeration date
11/13/2007
Last updated
08/27/2012
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