Individual
ALONZO ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
517 SW MILITARY DR STE 106, SAN ANTONIO, TX 78221-1639
(210) 921-0322
(210) 921-1451
Mailing address
517 SW MILITARY DR STE 106, SAN ANTONIO, TX 78221-1639
(210) 921-0322
(210) 921-1451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H6485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169179-04
WELLMED MEDICAID
TX
01
—
TXB130977
WELLMED MEDICARE
TX
Enumeration date
07/07/2005
Last updated
12/19/2023
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