Individual
TARA K ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5330 OVERPASS RD STE 100, BUDA, TX 78610-2300
(737) 999-6600
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01092934A
IN
208800000X
Urology Physician
Primary
S1882
TX
Other
Enumeration date
06/13/2011
Last updated
10/14/2024
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