| Doctor Name: | JESUS SANCHEZ ORTIZ |
| NPI Number: | 1184864829 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1909 Mcdowell Avenue Jourdanton, TX - 78026 |
| Business Phone Number: | 8305702070 |
| Business Fax Number: | 8307672067 |
| Mailing Address: | 1909 Mcdowell Avenue, JOURDANTON |
| State: | TX |
| Postal Code: | 78026 |
| Phone Number: | 8305702070 |
| Fax Number: | 8307672067 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 02/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |