MEDICARE: DR. GABRIELLE ORTIZ PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	76280	TX

General Provider Information

NPI Number	:	1730032285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIELLE ORTIZ PHARMD

Provider Business Mailing Address
First Line	:	6400 FANNIN ST STE 2210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST STE 2210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-704-5096
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	03/16/2026

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