MEDICARE: RODOLFO J ORNA MA, LMFT

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	101YP1600X	Pastoral Counselor	5207	TX
2	106H00000X	Marriage & Family Therapist	5207	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8800BH	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215078530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODOLFO J ORNA MA, LMFT

Provider Business Mailing Address
First Line	:	923 DARIA DR.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-5021
Country	:	US
Telephone Number	:	832-524-6321
Fax Number	:	281-531-4946

Provider Business Practice Location Address
First Line	:	11511 KATY FWY
Second Line	:	SUITE # 355
City	:	HOUSTON
State	:	TX
Zip	:	77079-1903
Country	:	US
Telephone Number	:	832-524-6321
Fax Number	:

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	01/22/2010

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