Organization
R & L ORTEGA PLLC
Active
Other names
Abundant Life Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANDRITA FLORES ORTEGA MD (MANAGER)
(580) 272-0922
Entity
Organization
Contact information
Practice address
520 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4674
(580) 272-0922
(580) 272-0811
Mailing address
520 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4674
(580) 272-0922
(580) 272-0811
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
23586
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200102180A
—
OK
Enumeration date
03/21/2007
Last updated
02/01/2013
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