Provider Demographics
NPI:1922008473
Name:ORTIZ, DAVID DIONISIO (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DIONISIO
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 N SANTA ROSA AVE
Mailing Address - Street 2:4TH FLOOR, CLINIC C
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3108
Mailing Address - Country:US
Mailing Address - Phone:210-704-4140
Mailing Address - Fax:210-704-4136
Practice Address - Street 1:333 N SANTA ROSA AVE
Practice Address - Street 2:4TH FLOOR, CLINIC C
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3108
Practice Address - Country:US
Practice Address - Phone:210-704-4140
Practice Address - Fax:210-704-4136
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2010-02-05
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Provider Licenses
StateLicense IDTaxonomies
TXL7509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine