Individual
MR. MIGUEL ORTIZ IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
175187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175187
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
TX
Enumeration date
08/02/2017
Last updated
07/21/2022
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