Provider Demographics
NPI:1952093791
Name:ORTEGA, PATRICIA (ABOC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8923 W MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2102
Mailing Address - Country:US
Mailing Address - Phone:210-675-6171
Mailing Address - Fax:210-521-9387
Practice Address - Street 1:8923 W MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2102
Practice Address - Country:US
Practice Address - Phone:210-675-6171
Practice Address - Fax:210-521-9387
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician