Provider Demographics
NPI:1710704341
Name:OCON, ERIK (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:OCON
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-5841
Mailing Address - Country:US
Mailing Address - Phone:915-342-2337
Mailing Address - Fax:
Practice Address - Street 1:11450 GATEWEAY N BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934
Practice Address - Country:US
Practice Address - Phone:915-440-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175030363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care