Provider Demographics
NPI:1639159148
Name:ORTEGA, CESAR ANTONIO (MD)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:ANTONIO
Last Name:ORTEGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3313 ORLANDO ST
Mailing Address - Street 2:PO BOX 111428
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-4854
Mailing Address - Country:US
Mailing Address - Phone:713-699-9171
Mailing Address - Fax:713-699-4538
Practice Address - Street 1:3313 ORLANDO ST
Practice Address - Street 2:ORTEGA MEDICAL CLINIC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-4854
Practice Address - Country:US
Practice Address - Phone:713-699-9177
Practice Address - Fax:713-699-4538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL7084208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics