Individual
CARLOS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP,APRN, CPNP-AC/PC
Contact information
Practice address
14505 HORIZON BLVD, EL PASO, TX 79928-8564
(915) 852-4089
Mailing address
14505 HORIZON BLVD, HORIZON CITY, TX 79928-8564
(915) 852-4089
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
747843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12427
PRESCRIPTIVE AUTHORITY NUMBER
TX
01
—
747843
ADVANCED PRACTICE REGISTERED NURSE
TX
Enumeration date
02/05/2013
Last updated
06/16/2022
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