Healthcare Provider Details

I. General information

NPI: 1225925209
Provider Name (Legal Business Name): OLGA OCHOA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2025
Last Update Date: 06/21/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 EAST RD STE 4358
HOUSTON TX
77054-6010
US

IV. Provider business mailing address

8190 BARKER CYPRESS RD # 109
CYPRESS TX
77433-1223
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-0536
  • Fax:
Mailing address:
  • Phone: 832-710-0201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberBP10095538
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: