Individual
DAMARIS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE., INDIANAPOLIS, IN 46202-5166
(317) 880-0000
Mailing address
6431 FANNIN ST, SUITE MSB 4.020, HOUSTON, TX 77030-1501
(713) 500-7200
(713) 486-0971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01082542A
IN
208600000X
Surgery Physician
125061812
IL
208600000X
Surgery Physician
R2695
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233690098
—
IN
05
—
300028143
—
IN
Enumeration date
04/17/2012
Last updated
11/30/2022
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