Provider Demographics
NPI:1447292735
Name:RICARDO OCHOA MD PA
Entity type:Organization
Organization Name:RICARDO OCHOA MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-421-4966
Mailing Address - Street 1:PO BOX 531461
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-1461
Mailing Address - Country:US
Mailing Address - Phone:956-421-4966
Mailing Address - Fax:956-421-4689
Practice Address - Street 1:632 N ED CAREY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7508
Practice Address - Country:US
Practice Address - Phone:956-421-4966
Practice Address - Fax:946-421-4689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157945008Medicaid
TX181442801Medicaid
TX181442803Medicaid
TX157945007Medicaid
TX181442802Medicaid
TX157945006Medicaid
TX157945008Medicaid
TX181442802Medicaid