Individual
ANIAH JAEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
3133 GOOD SHEPHERD WAY, LONGVIEW, TX 75605-7921
(903) 323-6500
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 351-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT10217
TX
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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