Organization
SCOTTY R ORTEGA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTTY R ORTEGA MD (MD/OWNER)
(432) 332-1386
Entity
Organization
Contact information
Practice address
2487 E 11TH STREET, ODESSA, TX 79761
(432) 332-1386
(432) 614-6272
Mailing address
2487 E 11TH STREET, ODESSA, TX 79761
(432) 332-1386
(432) 614-6272
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP132514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB137020
PTAN
TX
Enumeration date
11/08/2016
Last updated
11/08/2016
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