Organization
BETTY ELIZABETH ORTIZ
Active
Other names
CASA BENDITA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY ELIZABETH ORTIZ PROVIDER (OWNER OPERATOR)
(956) 753-9205
Entity
Organization
Contact information
Practice address
129 PALENCIA AVE, LAREDO, TX 78046-8524
(956) 753-9205
Mailing address
129 PALENCIA AVE, LAREDO, TX 78046-8524
(956) 753-9205
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
120939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120939
—
TX
Enumeration date
08/20/2007
Last updated
07/18/2008
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