Individual
KIMBERLY ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 FRIO DR, ROSHARON, TX 77583-3035
(323) 448-9571
Mailing address
2107 FRIO DR, ROSHARON, TX 77583-3035
(323) 448-9571
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
182716
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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