Provider Demographics
NPI:1437650934
Name:OROZCO, SANDRA LIZET (PA-C)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:LIZET
Last Name:OROZCO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LIZET
Other - Middle Name:
Other - Last Name:OROZCO-MARQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1917 N TURNER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-2732
Mailing Address - Country:US
Mailing Address - Phone:575-602-7075
Mailing Address - Fax:
Practice Address - Street 1:1917 N TURNER ST STE 100
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-2732
Practice Address - Country:US
Practice Address - Phone:575-602-7075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18180363A00000X
NMPA2018-0010363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant