Provider Demographics
NPI:1164780862
Name:ARTIAGA, OSCAR (LCDC)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:
Last Name:ARTIAGA
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E MAIN DR STE 600
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1385
Mailing Address - Country:US
Mailing Address - Phone:915-887-3419
Mailing Address - Fax:
Practice Address - Street 1:201 E MAIN DR STE 600
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1385
Practice Address - Country:US
Practice Address - Phone:915-887-3419
Practice Address - Fax:575-382-0909
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13278101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)