Provider Demographics
NPI:1376277715
Name:ORTIZ OROZCO, DANIELA J
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:J
Last Name:ORTIZ OROZCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 LEGACY DR STE 215
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3181
Mailing Address - Country:US
Mailing Address - Phone:214-577-1151
Mailing Address - Fax:
Practice Address - Street 1:5000 LEGACY DR STE 215
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3181
Practice Address - Country:US
Practice Address - Phone:972-494-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA19068363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant