Basic Information
Provider Information
NPI: 1467942235
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OCHOA
FirstName: FELIPE
MiddleName: ANDRES
NamePrefix:  
NameSuffix:  
Credential: AGACNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4849 N MESA ST STE 201
Address2:  
City: EL PASO
State: TX
PostalCode: 799125919
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber: 9153516601
Practice Location
Address1: 2000B TRANS MOUNTAIN RD STE 270
Address2:  
City: EL PASO
State: TX
PostalCode: 79911
CountryCode: US
TelephoneNumber: 9152130900
FaxNumber: 9152714145
Other Information
ProviderEnumerationDate: 05/16/2018
LastUpdateDate: 07/10/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAP137507TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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