MEDICARE: DR. SOFIA PINEDA OCHOA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	P1582	TX

General Provider Information

NPI Number	:	1043543317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOFIA PINEDA OCHOA M.D.

Provider Business Mailing Address
First Line	:	2450 LOUISIANA
Second Line	:	SUITE 400 #725
City	:	HOUSTON
State	:	TX
Zip	:	77006
Country	:	US
Telephone Number	:	901-378-8895
Fax Number	:

Provider Business Practice Location Address
First Line	:	6032 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4210
Country	:	US
Telephone Number	:	901-378-8895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2009
Last Update Date	:	08/18/2014

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