Individual
DR. ERIC BRUM ORTIGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.C.R.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 648-3903
(214) 648-2481
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3903
(214) 648-2481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003993
GA
208000000X
Pediatrics Physician
LL32374
SC
208000000X
Pediatrics Physician
ME112378
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
ME112378
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
Q3753
TX
Other
Enumeration date
06/23/2009
Last updated
08/17/2015
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