Provider Demographics
NPI:1841310695
Name:OCHOA, RICARDO (MD)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:OCHOA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 N 10TH ST STE C7
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4583
Mailing Address - Country:US
Mailing Address - Phone:956-618-4700
Mailing Address - Fax:956-618-4703
Practice Address - Street 1:508 N 10TH ST STE C7
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4583
Practice Address - Country:US
Practice Address - Phone:956-618-4700
Practice Address - Fax:956-618-4703
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6549208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160699805Medicaid
TXL6549OtherMEDICAL LICENSE #
TXL6549OtherMEDICAL LICENSE #