Individual
ANETTE MICHELLE MORALES ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7601 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-8350
(972) 978-3331
Mailing address
2941 GRAND GULF RD, FORT WORTH, TX 76123-2457
(817) 946-5771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20097
TX
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2024
Last updated
03/17/2026
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