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Individual

MARTHA J ORTIZ-CAVALCANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
690194
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219165204
TX
01
8702UG
BCBS
TX
01
P01446614
RR
TX
Enumeration date
11/08/2010
Last updated
11/09/2015
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