Most Relevant Information
Provider Data
  | NPI Number: | 1003586405 | 
| Provider Name: | GABRIELA ORTEGA | 
| Entity Type: | Individual | 
| Taxonomy Code: | 183700000X | 
| Specialty: | Pharmacy Technician | 
| License Number: | 205943 | 
Most Important Dates
  | Enumeration Date: | 09/16/2021 | 
| Last Updated: | 09/16/2021 | 
Provider Practice Location
  101 S CLAY ST
      
      ENNIS
      TX
      751194519
  Practice Location Phone/Fax
      | Phone: | 9728758313 | 
| Fax: | 
Provider Mailing Location
  101 S CLAY ST
      
      ENNIS
      TX
      751194519
  Provider Mailing Phone/Fax
      | Phone: | 9728758313 | 
| Fax: |