Individual
MR. DARRELL RHEA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
7618 CALYPSO DR, ROWLETT, TX 75088-5431
(972) 475-1955
Mailing address
7618 CALYPSO DR, ROWLETT, TX 75088-5431
(972) 475-1955
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT0464
TX
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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