Provider Demographics
NPI:1841950276
Name:NETTER J. ORTIZ MD PLLC
Entity type:Organization
Organization Name:NETTER J. ORTIZ MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:NETTER
Authorized Official - Middle Name:JACOBO
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-525-7084
Mailing Address - Street 1:2100 VILLAGE CENTER DR STE F1
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-1119
Mailing Address - Country:US
Mailing Address - Phone:956-525-7084
Mailing Address - Fax:956-525-7203
Practice Address - Street 1:2100 VILLAGE CENTER DR STE F1
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-1119
Practice Address - Country:US
Practice Address - Phone:956-525-7084
Practice Address - Fax:956-525-7084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty