Provider Demographics
NPI:1235420530
Name:KORTMED MARKETING & MANAGEMENT LLC
Entity Type:Organization
Organization Name:KORTMED MARKETING & MANAGEMENT LLC
Other - Org Name:KORTMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-677-5894
Mailing Address - Street 1:2807 ALLEN ST
Mailing Address - Street 2:#820
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1031
Mailing Address - Country:US
Mailing Address - Phone:972-677-4895
Mailing Address - Fax:
Practice Address - Street 1:8100 JOHN W CARPENTER FWY
Practice Address - Street 2:SUITE 150
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4700
Practice Address - Country:US
Practice Address - Phone:972-677-4895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty