MEDICARE: ALAN OMAR ORTIZ DC

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	111N00000X	Chiropractor	16826	TX

General Provider Information

NPI Number	:	1356297386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN OMAR ORTIZ DC

Provider Business Mailing Address
First Line	:	3112 LELA ST
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75061-6435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 SOUTH FWY STE 1309
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76115-1417
Country	:	US
Telephone Number	:	214-942-3700
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ ALAN OMAR ORTIZ DC” Practice Location

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