Provider Demographics
NPI:1962025866
Name:ORTIZ-GONZALEZ, BARBARA- YADIRA (APRN,FNP-C)
Entity Type:Individual
Prefix:
First Name:BARBARA-
Middle Name:YADIRA
Last Name:ORTIZ-GONZALEZ
Suffix:
Gender:F
Credentials:APRN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20127 IVORY VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0030
Mailing Address - Country:US
Mailing Address - Phone:713-866-4024
Mailing Address - Fax:713-866-4025
Practice Address - Street 1:20127 IVORY VALLEY LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-0030
Practice Address - Country:US
Practice Address - Phone:713-866-4024
Practice Address - Fax:713-866-4025
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP146064364SF0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health