Individual
CARLOS BRANDON ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(806) 632-2555
Mailing address
13411 ORCHARD RIDGE DR, SAN ANTONIO, TX 78231-2210
(806) 632-2555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
T2707
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2019
Last updated
07/31/2021
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