Basic Information
Provider Information
NPI: 1326404005
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OCHOA
FirstName: MEGAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 LONG PRAIRIE RD
Address2: FLOWER MOUND
City: FLOWER MOUND
State: TX
PostalCode: 750224217
CountryCode: US
TelephoneNumber: 9727242400
FaxNumber: 9727242495
Practice Location
Address1: 4401 LONG PRAIRIE RD
Address2: FLOWER MOUND
City: FLOWER MOUND
State: TX
PostalCode: 750281794
CountryCode: US
TelephoneNumber: 9726911331
FaxNumber: 9726911731
Other Information
ProviderEnumerationDate: 01/11/2016
LastUpdateDate: 07/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1272238TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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