Individual
GISEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7734 SHANGRILA LN, HOUSTON, TX 77095-4116
(832) 566-3064
Mailing address
7734 SHANGRILA LN, HOUSTON, TX 77095-4116
(832) 566-3064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
942074
TX
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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