Individual
DR. GUSTAVO A ORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6925 HARRISBURG BLVD, HOUSTON, TX 77011-4627
(713) 928-2283
(713) 928-5228
Mailing address
6925 HARRISBURG BLVD, HOUSTON, TX 77011-4627
(713) 928-2283
(713) 928-5228
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D5564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036070301
TPI
TX
Enumeration date
08/23/2010
Last updated
08/23/2010
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