Healthcare Provider Details

I. General information

NPI: 1932266624
Provider Name (Legal Business Name): DOS HERMANAS ORTIZ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 PRADA-MACHIN, UNIT 8
LAREDO TX
78046-8499
US

IV. Provider business mailing address

666 PRADA-MACHIN, UNIT 8
LAREDO TX
78046-8499
US

V. Phone/Fax

Practice location:
  • Phone: 956-717-8614
  • Fax: 956-717-8161
Mailing address:
  • Phone: 956-717-8614
  • Fax: 956-717-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number118232
License Number StateTX

VIII. Authorized Official

Name: MS. MARY PAT ORTIZ
Title or Position: PRESIDENT
Credential: R.N.
Phone: 956-717-8614