Provider Demographics
NPI:1174545461
Name:ORTIZ, FRANCISCO JUAN (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JUAN
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20320 NORTHWEST FWY
Mailing Address - Street 2:SUITE 900
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5641
Mailing Address - Country:US
Mailing Address - Phone:281-586-3888
Mailing Address - Fax:281-440-2020
Practice Address - Street 1:6804 HIGHWAY 6 S STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3397
Practice Address - Country:US
Practice Address - Phone:832-351-3480
Practice Address - Fax:832-351-3481
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3822207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CD426OtherBLUE CROSS
TX11610584OtherCAQH PROVIDER NUMBER
TX8L20464Medicare PIN