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Individual

MR. JOSE IGNACIO ORTIZ DE ELGUEA LIZARRAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-8052
(409) 772-1369
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-8052
(346) 971-1342

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
745788
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
745788
TEXAS MEDICAL BOARD
TX
Enumeration date
06/07/2022
Last updated
06/07/2022
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