MR. Darrell Rhea Ortiz, ATC, LAT

NPI #1912209974 in Rowlett, Texas

Provider Information

NPI Number: 1912209974
Entity Type: Individual
Name: MR. Darrell Rhea Ortiz, ATC, LAT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: ATC, LAT
Enumeration Date: Nov 24, 2010
Last Updated: Nov 24, 2010

Practice Location

Address: 7618 CALYPSO DR
City: Rowlett
State: Texas
ZIP Code: 75088-5431
Phone: (972) 475-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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