National Provider Identifier Database

KELLY M ORTIZ
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

KELLY M ORTIZ
710 SHADOWBROOK DR
SPRING, TX77380-2233
Phone: 713-410-4868
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for KELLY M ORTIZ

NPI Number 1982268918
Credentials
Entity Individual
Enumeration date 04/25/2019
Last updated 04/25/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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