| Antonio M Ortega Md Pa | |
|
1400 N El Paso St Ste D El Paso TX 79902-3438 | |
| (915) 544-9969 | |
| Not Available |
| Full Name | Antonio M Ortega Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 N El Paso St Ste D, El Paso, Texas |
| Authorized Official Name and Position | Antonio M Ortega (OWNER) |
| Authorized Official Contact | 9155449969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio M Ortega Md Pa 7101 N Mesa St Pmb 300 El Paso TX 79912-3613 Ph: (915) 544-9969 | Antonio M Ortega Md Pa 1400 N El Paso St Ste D El Paso TX 79902-3438 Ph: (915) 544-9969 |
| NPI Number | 1003136201 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 09/24/2010 |
| Medicare PECOS PAC ID | 5395876700 |
|---|---|
| Medicare Enrollment ID | O20100629000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003136201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Antonio M Ortega |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528060969 PECOS PAC ID: 1951337690 Enrollment ID: I20050713000834 |
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