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Contact Information

DENNIS L ORTIZ, DO
4218 GATEWAY DR
SUITE 100
COLLEYVILLE, TX76034
 Phone: 817-283-1860
 Fax: 817-283-2175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for DENNIS L ORTIZ · (Male)

NPI # 1740232149
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/16/2006
Last updated 05/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H0705
  • TX Medicaid 170333201
  • TX Medicaid 170333202
  • TX Medicaid 170333203
  • Other 340019907 RAIL ROAD MEDICARE
  • Other P00153491 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • BAYLOR MEDICAL CENTER AT TROPHY CLUB - (Acute Care)
    2850 E STATE HIGHWAY 114
    TROPHY CLUB, TX 76262
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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