Healthcare Provider Details

I. General information

NPI: 1346971082
Provider Name (Legal Business Name): MRS. YESSICA DARLEN OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E RIDGE RD
MCALLEN TX
78503-5490
US

IV. Provider business mailing address

1120 E RIDGE RD
MCALLEN TX
78503-5490
US

V. Phone/Fax

Practice location:
  • Phone: 956-688-1200
  • Fax:
Mailing address:
  • Phone: 956-688-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17750
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: