Provider Demographics
NPI:1548675986
Name:OCHOA-THOMAS, SONIA YVETTE (PA)
Entity type:Individual
Prefix:MS
First Name:SONIA
Middle Name:YVETTE
Last Name:OCHOA-THOMAS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 W JEFFERSON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6329
Mailing Address - Country:US
Mailing Address - Phone:956-574-0431
Mailing Address - Fax:956-541-1011
Practice Address - Street 1:800 W JEFFERSON ST
Practice Address - Street 2:STE 200
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6329
Practice Address - Country:US
Practice Address - Phone:956-574-0431
Practice Address - Fax:956-541-1011
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09281363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350399701Medicaid
TX437605YZR1OtherWELLMED PTAN