Individual
EDGAR ORTIZ SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 DACY LN, KYLE, TX 78640-4442
(512) 551-0896
Mailing address
2105 QUICKSILVER BLVD, AUSTIN, TX 78744-5660
(512) 587-9171
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1053893
TX
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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