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Organization

JORGE A ORTEGON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH PETERS (BILLING MANAGER)
(956) 630-4155
Entity
Organization

Contact information

Practice address
2821 MICHAEL ANGELO, SUITE 300, EDINBURG, TX 78539-1404
(956) 630-1225
(956) 630-1841
Mailing address
PO BOX 4647, MCALLEN, TX 78502-4647
(956) 630-1225
(956) 630-1841

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
K6668
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0079MN
BCBS GROUP
TX
01
119496
COMMERCIAL NETWORK
TX
01
135925100
COMMERCIAL
TX
05
172028601
TX
01
8S0570
BCBS
TX
01
970007388
MEDICARE RAILROAD
TX
Enumeration date
08/08/2007
Last updated
02/24/2010
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