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Individual

JOHN LUIS ORTEGA VALDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 12TH AVE STE 132, FT WORTH, TX 76104-3926
(817) 877-4105
(817) 348-9797
Mailing address
9225 SWEENEY CT, AUBREY, TX 76227-5713
(210) 412-8115

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1223266
TX
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/18/2024
Last updated
04/14/2026
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