Provider Demographics
NPI:1285522326
Name:ORTEGA, BECKY JOY (RPH)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:JOY
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:J
Other - Last Name:WAUTHIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:194 COUNTY ROAD 1097
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-8608
Mailing Address - Country:US
Mailing Address - Phone:346-560-6204
Mailing Address - Fax:
Practice Address - Street 1:194 COUNTY ROAD 1097
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-8608
Practice Address - Country:US
Practice Address - Phone:346-560-6204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX383121835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care