Provider Demographics
NPI:1184818874
Name:OROZCO, CARMEN W III (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CARMEN
Middle Name:W
Last Name:OROZCO
Suffix:III
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:TREY
Other - Middle Name:W
Other - Last Name:OROZCO
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:2906 ANN DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-9732
Mailing Address - Country:US
Mailing Address - Phone:432-570-8476
Mailing Address - Fax:
Practice Address - Street 1:1300 W WALL ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6625
Practice Address - Country:US
Practice Address - Phone:432-684-4488
Practice Address - Fax:432-684-6644
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03314363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical