MEDICARE: ANAIS OCHOA

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	363LP2300X	Primary Care Nurse Practitioner	1031864	TX
2	207Q00000X	Family Medicine Physician	1031864	TX

General Provider Information

NPI Number	:	1588244701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAIS OCHOA

Provider Business Mailing Address
First Line	:	14668 LONG SHADOW AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-3128
Country	:	US
Telephone Number	:	915-630-8004
Fax Number	:

Provider Business Practice Location Address
First Line	:	14476 HORIZON BLVD STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-8579
Country	:	US
Telephone Number	:	915-344-7011
Fax Number	:	915-344-7012

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	02/06/2025

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Directions to “ ANAIS OCHOA ” Practice Location

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