Provider Demographics
NPI:1558070789
Name:ORTIZ, JENSEN MARGARET EMIKO (DC)
Entity Type:Individual
Prefix:
First Name:JENSEN
Middle Name:MARGARET EMIKO
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JENSEN
Other - Middle Name:MARGARET EMIKO
Other - Last Name:JEFFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 AUBURN HILLS PARKWAY
Mailing Address - Street 2:SUITE 604
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:850-226-2934
Mailing Address - Fax:
Practice Address - Street 1:2001 AUBURN HILLS PARKWAY
Practice Address - Street 2:SUITE 604
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:850-226-2934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor