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NPI Code Detail

MEDICARE: VICTOR RENE ORTEGA APRN, PMHNP-BC

MEDICARE: VICTOR RENE ORTEGA APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1073051TX

General Provider Information

NPI Number : 1255074159
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR RENE ORTEGA APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-744-1499
Fax Number :
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-744-1499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2022
Last Update Date : 01/29/2026

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