Individual
DIANA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 WEST 28 AND A HALF ST, AUSTIN, TX 78705-3536
(512) 478-2581
(512) 476-1638
Mailing address
919 WEST 28 AND A HALF ST, AUSTIN, TX 78705-3536
(512) 478-2581
(512) 476-1638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4862
BLUE CROSS
TX
Enumeration date
02/15/2007
Last updated
07/08/2007
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