Provider Demographics
NPI:1598934903
Name:OROZCO, LUDWIG DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:LUDWIG
Middle Name:DAVID
Last Name:OROZCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7501 LAKEVIEW PKWY
Mailing Address - Street 2:STE 245
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9326
Mailing Address - Country:US
Mailing Address - Phone:469-626-1577
Mailing Address - Fax:469-626-1335
Practice Address - Street 1:7501 LAKEVIEW PKWY
Practice Address - Street 2:STE 245
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9326
Practice Address - Country:US
Practice Address - Phone:469-626-1577
Practice Address - Fax:469-626-1335
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS689-L207T00000X
TXP8811207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03608041Medicaid
MS03608041Medicaid