Individual
MS. BRUNILDA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4755 ALDINE MAIL ROUTE RD, HOUSTON, TX 77039-5934
(281) 985-7600
Mailing address
421 COUNTY ROAD 3379, CLEVELAND, TX 77327-8762
(713) 851-8145
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
37259
TX
1041C0700X
Clinical Social Worker
Primary
37259
TX
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
37259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18020401
—
TX
01
—
263976S5T
MEDICARE PTAN GROUP
TX
Enumeration date
10/03/2006
Last updated
03/17/2025
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