| Doctor Name: | AGNES ORTEGA |
| NPI Number: | 1114127446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 29465 |
| Business Practice Address: | 11809 Al Highway 157 Suite E Moulton, AL - 356502707 |
| Business Phone Number: | 2569050340 |
| Business Fax Number: | |
| Mailing Address: | 11809 Al Highway 157, Suite E MOULTON |
| State: | AL |
| Postal Code: | 356502707 |
| Phone Number: | 2569050340 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2007 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 29465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |