Individual
MR. JOSE ANTONIO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
725 COTTONWOOD BEND DR, ALLEN, TX 75002-5203
(469) 400-0933
Mailing address
725 COTTONWOOD BEND DR, ALLEN, TX 75002-5203
(469) 400-0933
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
133501
TX
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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