MEDICARE: MR. ALEJANDRO ORTEGA CORTEZ I MSW

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	104100000X	Social Worker	SC61057663	WA

General Provider Information

NPI Number	:	1245884865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEJANDRO ORTEGA CORTEZ I MSW

Provider Business Mailing Address
First Line	:	513 WHITE STEPPE WAY
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-2853
Country	:	US
Telephone Number	:	737-400-2560
Fax Number	:

Provider Business Practice Location Address
First Line	:	513 WHITE STEPPE WAY
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-2853
Country	:	US
Telephone Number	:	737-400-2560
Fax Number	:

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

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	05/28/2026

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