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General NPI Number Information
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NPI Number | 1174458137
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Entity Type | Organization
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Legal Business Name | TEXAS GERI-PAL PLLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 237 QUINTIN ST
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City | RANCHO VIEJO
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State | TX
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Zip | 78575-4901
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Country | US
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Telephone | 956-459-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 237 QUINTIN ST
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City | RANCHO VIEJO
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State | TX
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Zip | 78575-4901
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Country | US
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Telephone | 956-459-9313
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESUS ROBERTO ORTIZ
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Credential | MD
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Telephone | 956-459-9313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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