Most Relevant Information
Provider Data
  | NPI Number: | 1003316761 | 
| Provider Name: | LAZARO RENE ORTEGA RN | 
| Entity Type: | Individual | 
| Taxonomy Code: | 163W00000X | 
| Specialty: | Registered Nurse | 
| License Number: | 931144 | 
Most Important Dates
  | Enumeration Date: | 02/19/2018 | 
| Last Updated: | 02/19/2018 | 
Provider Practice Location
  15814 VAL VISTA DR
      
      HOUSTON
      TX
      770833919
  Practice Location Phone/Fax
      | Phone: | 8324667616 | 
| Fax: | 
Provider Mailing Location
  15814 VAL VISTA DR
      
      HOUSTON
      TX
      770833919
  Provider Mailing Phone/Fax
      | Phone: | 8324667616 | 
| Fax: |