Provider Demographics
NPI:1972796951
Name:HECTOR J. ORTIZ, M.D., P.A.
Entity Type:Organization
Organization Name:HECTOR J. ORTIZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:JULIAN
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-889-5000
Mailing Address - Street 1:1800 S STAPLES ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3044
Mailing Address - Country:US
Mailing Address - Phone:361-889-5000
Mailing Address - Fax:361-889-5001
Practice Address - Street 1:1800 S STAPLES ST
Practice Address - Street 2:SUITE 316
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3044
Practice Address - Country:US
Practice Address - Phone:361-889-5000
Practice Address - Fax:361-889-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7862261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care