Jose Ortiz Cst

NPI #1346444163 in Fairview, Texas

Provider Information

NPI Number: 1346444163
Entity Type: Organization
Organization Name: Jose Ortiz Cst
Primary Specialty: Surgery
Enumeration Date: Jun 14, 2007
Last Updated: Oct 8, 2012

Practice Location

Address: 5139 POND BLUFF WAY
City: Fairview
State: Texas
ZIP Code: 75069-6852
Phone: (469) 400-0933

Authorized Official

Name: JOSE A ORTIZ, CSFA CST
Title: SELF
Phone: (469) 400-0933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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