Healthcare Provider Details

I. General information

NPI: 1255247995
Provider Name (Legal Business Name): ROBERTO REYES ORTIZ FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10540 CYPRESS CREEK PKWY
HOUSTON TX
77070-6339
US

IV. Provider business mailing address

10540 CYPRESS CREEK PKWY
HOUSTON TX
77070-6339
US

V. Phone/Fax

Practice location:
  • Phone: 832-748-6560
  • Fax: 346-206-2122
Mailing address:
  • Phone: 832-748-6560
  • Fax: 346-206-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1155623
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: