Individual
CLARA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P9107
TX
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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