| Doctor Name: | DR. FERNANDO ORTIZ |
| NPI Number: | 1003071556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G4669 |
| Business Practice Address: | 4818 Everhart Rd Corpus Christi, TX - 784112738 |
| Business Phone Number: | 3619801299 |
| Business Fax Number: | 3619868988 |
| Mailing Address: | 7218 Pharaoh Dr, CORPUS CHRISTI |
| State: | TX |
| Postal Code: | 784123827 |
| Phone Number: | 3619932898 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 03/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | G4669 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |