Healthcare Provider Details

I. General information

NPI: 1346799624
Provider Name (Legal Business Name): HECTOR O PACHECO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 BROWN ST STE 3
EL PASO TX
79902-4730
US

IV. Provider business mailing address

4445 N MESA ST STE 122
EL PASO TX
79902-1117
US

V. Phone/Fax

Practice location:
  • Phone: 915-219-4300
  • Fax:
Mailing address:
  • Phone: 915-219-4300
  • Fax: 915-519-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberK6670
License Number StateTX

VIII. Authorized Official

Name: DR. HECTOR O PACHECO
Title or Position: OWNER
Credential: MD
Phone: 915-920-7225