Provider Demographics
NPI:1568877975
Name:OJEDA ARCE, EDGARDO ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGARDO
Middle Name:ENRIQUE
Last Name:OJEDA ARCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EDGARDO
Other - Middle Name:ENRIQUE
Other - Last Name:OJEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1901 S 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6533
Mailing Address - Country:US
Mailing Address - Phone:956-289-7000
Mailing Address - Fax:956-289-7257
Practice Address - Street 1:2215 W BUSINESS 83
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-1100
Practice Address - Country:US
Practice Address - Phone:956-520-8800
Practice Address - Fax:956-289-7257
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR199402084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry