Individual
IVAN A. ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD, SUITE 300, HOUSTON, TX 77042-2300
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L6553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158819602
—
TX
05
—
158819609
—
TX
05
—
158819610
—
TX
01
—
8FX657
BCBS
TX
01
—
8R1201
BCBS
TX
01
—
P01740797
RR
TX
Enumeration date
09/16/2006
Last updated
03/14/2025
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