Organization
JUAN ANTONIO ORTEGA-MORA MD PA
Active
Other names
Ortega Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS ORTEGA JR. (BILLING ADMINISTRATOR)
(281) 740-0856
Entity
Organization
Contact information
Practice address
3313 ORLANDO ST, HOUSTON, TX 77093-4854
(713) 699-9177
Mailing address
3313 ORLANDO ST, HOUSTON, TX 77093-4854
(713) 699-9177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E3593
TX
208D00000X
General Practice Physician
E3593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127160302
—
TX
Enumeration date
04/20/2009
Last updated
04/20/2009
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