Organization
JOSE ORTIZ CST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A ORTIZ CSFA CST (SELF)
(469) 400-0933
Entity
Organization
Contact information
Practice address
5139 POND BLUFF WAY, FAIRVIEW, TX 75069-6852
(469) 400-0933
Mailing address
5139 POND BLUFF WAY, FAIRVIEW, TX 75069-6852
(469) 400-0933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
10/08/2012
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