Healthcare Provider Details

I. General information

NPI: 1962025866
Provider Name (Legal Business Name): BARBARA- YADIRA ORTIZ-GONZALEZ APRN,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20127 IVORY VALLEY LN
CYPRESS TX
77433-0030
US

IV. Provider business mailing address

20127 IVORY VALLEY LN
CYPRESS TX
77433-0030
US

V. Phone/Fax

Practice location:
  • Phone: 713-866-4024
  • Fax: 713-866-4025
Mailing address:
  • Phone: 713-866-4024
  • Fax: 713-866-4025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number943327
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP146064
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAP146064
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: