Basic Information
| Provider Information | |||||||||
| NPI: | 1467093872 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | RICARDO OCHOA MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 508 N 10TH ST STE C7 | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785014583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566184700 | ||||||||
| FaxNumber: | 9566184703 | ||||||||
| Practice Location | |||||||||
| Address1: | 508 N 10TH ST STE C7 | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785014583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566184700 | ||||||||
| FaxNumber: | 9566184703 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2019 | ||||||||
| LastUpdateDate: | 10/07/2019 | ||||||||
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| AuthorizedOfficialLastName: | OCHOA | ||||||||
| AuthorizedOfficialFirstName: | RICARDO | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9566184700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.