Basic Information
| Provider Information | |||||||||
| NPI: | 1841310695 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OCHOA | ||||||||
| FirstName: | RICARDO | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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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: | 03/29/2007 | ||||||||
| LastUpdateDate: | 12/16/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | L6549 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | BO8267925 | 01 | TX | DEA | OTHER | 160699805 | 05 | TX | MEDICAID | L6549 | 01 | TX | MEDICAL LICENSE # | OTHER |