Individual
ANTONIETA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4807 S COUNTY ROAD 1178, MIDLAND, TX 79706-6569
(432) 254-3971
Mailing address
4807 S COUNTY ROAD 1178, MIDLAND, TX 79706-6569
(432) 254-3971
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
153866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153866
—
TX
Enumeration date
02/21/2018
Last updated
02/21/2018
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