Provider Demographics
NPI:1952309643
Name:ALCALA, PATRICIA H (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:H
Last Name:ALCALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:260
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5814
Mailing Address - Country:US
Mailing Address - Phone:915-225-3818
Mailing Address - Fax:915-225-3832
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:STE 260
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5812
Practice Address - Country:US
Practice Address - Phone:915-533-7579
Practice Address - Fax:915-532-2485
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3703207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122793605Medicaid
TX00508UOtherMEDICARE GROUP PIN
TX00508UOtherMEDICARE GROUP PIN
TXB20837Medicare UPIN