1447292735 NPI number — RICARDO OCHOA MD PA

Table of content: MS. CYNTHIA KOSTAKIS DAVIS M.A. (NPI 1508057464)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447292735 NPI number — RICARDO OCHOA MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICARDO OCHOA MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447292735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 531461
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARLINGEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78553-1461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-421-4966
Provider Business Mailing Address Fax Number:
956-421-4689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5505 S EXPRESSWAY 77 STE 304
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-3222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-421-4966
Provider Business Practice Location Address Fax Number:
946-421-4689
Provider Enumeration Date:
06/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OCHOA
Authorized Official First Name:
RICARDO
Authorized Official Middle Name:
ANTONIO
Authorized Official Title or Position:
SOLE OWNER
Authorized Official Telephone Number:
956-421-4966

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  L1417 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 157945008 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 181442801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 181442803 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 157945007 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 181442802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 157945006 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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