Provider Demographics
NPI:1386826634
Name:DAVID OCHOA, M.D.,P.A.
Entity Type:Organization
Organization Name:DAVID OCHOA, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-599-2128
Mailing Address - Street 1:11485 TOEPPERWEIN RD
Mailing Address - Street 2:STE. 1
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3143
Mailing Address - Country:US
Mailing Address - Phone:210-599-2128
Mailing Address - Fax:210-599-2130
Practice Address - Street 1:11485 TOEPPERWEIN RD
Practice Address - Street 2:STE. 1
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3143
Practice Address - Country:US
Practice Address - Phone:210-599-2128
Practice Address - Fax:210-599-2130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2654261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00985XMedicare PIN