Individual
JOSEPH MARK ORTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE, #500, FORT WORTH, TX 76104-2800
(817) 252-5000
(817) 252-5060
Mailing address
1300 W TERRELL AVE, #500, FORT WORTH, TX 76104-2800
(817) 252-5000
(817) 252-5060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K7365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8502N4
MEDICARE
TX
01
—
8B2676
BLUE CROSS
TX
Enumeration date
10/06/2005
Last updated
04/04/2008
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