JORGE A. ONTIVEROS, M.D., P.A.
Osteopathic Medicine at Plano Rd, Dallas, TX

License number
Texas K7852
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. JORGE ONTIVEROS M.D.
Title: PRESIDENT
Phone: (214) 533-8545
Address
Address 2
10705 Plano Rd SUITE 200, Dallas, TX 75238
PO Box 2024, Addison, TX 75001
National Provider ID: 1508993791
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JORGE A. ONTIVEROS, M.D., PA

1151 N Buckner Blvd STE 408, Dallas, TX 75218

Doing business as:
Jorge A. Ontiveros, M.D., PA
Registration:
Nov 15, 2004
State ID:
0800417542
Business type:
Professional Association
Director, Member, Secretary, President:
Jorge A. Ontiveros (Director, Member, Secretary, President)
TIN:
32035502270

Jorge A. Ontiveros, M.D., PA

9726 Vinewood Dr, Dallas, TX 75228

Industry:
Medical Doctor's Office

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