MEDICARE: LINDA M ORTIZ C.F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	583506	TX
2	363LF0000X	Family Nurse Practitioner	AP110472	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295752814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA M ORTIZ C.F.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 10426
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78460-0426
Country	:	US
Telephone Number	:	361-241-6700
Fax Number	:	361-241-4302

Provider Business Practice Location Address
First Line	:	327 W AVENUE J
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-2207
Country	:	US
Telephone Number	:	361-873-9233
Fax Number	:	361-387-8992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/15/2022

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Directions to “ LINDA M ORTIZ C.F.N.P.” Practice Location

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