MEDICARE: FRANCISCO J.ORTIZ M.D., PA

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	207Q00000X	Family Medicine Physician	M3822	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11610584	OTHER	TX	CAQH

General Provider Information

NPI Number	:	1689864613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCO J.ORTIZ M.D., PA

Provider Business Mailing Address
First Line	:	6804 HIGHWAY 6 S STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3397
Country	:	US
Telephone Number	:	832-351-3480
Fax Number	:	323-513-4818

Provider Business Practice Location Address
First Line	:	6804 HIGHWAY 6 S STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3397
Country	:	US
Telephone Number	:	832-351-3480
Fax Number	:	832-351-3481

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCISCO JUAN ORTIZ
Credential	:
Telephone Number	:	832-985-9291

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	11/29/2022

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