Ombaba, Jackson Mosongo
Ombaba, Jackson Mosongo is an individual health care provider with primary practice located at 4801 Alberta Ave , El Paso TX 79905. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ombaba, Jackson Mosongo can be contacted via phone (915) 545-7507.Contact Information
Primary practice address
4801 Alberta Ave
El Paso TX 79905
Phone: (915) 545-7507
Fax: (915) 545-9799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 41243 TEMP. | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M6813 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 41243 TEMPORARY | Texas |
Profile Details
| NPI number | 1285731521 |
|---|---|
| LBN Legal business name | Ombaba, Jackson Mosongo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285731521 | NPPES |
| Texas | MEDICAID | 178871301 | |
| Texas | Other | 178871302 |
Popular Providers
-
Berumen, Kenneth Andrew
1625 Medical Center Dr C/O Emergency Dept., El Paso TX 79902-5005 -
Martinez, Azalia V
1300 E Rio Grande Ave , El Paso TX 79902-4815 -
Kavonian, Gary D
10301 Gateway Blvd W , El Paso TX 79925-7701 -
Vigil, Jacob Patrick
2001 N Oregon St , El Paso TX 79902-3320 -
Stilley, Mark A
10301 Gateway Blvd W , El Paso TX 79925-7701 -
Harper, William D
3800 N Mesa St Ste A2 Box 437, El Paso TX 79902-1512 -
Woolard, Robert Hodges
4815 Alameda Ave , El Paso TX 79905 -
Horton, Stephen H
10301 Gateway Blvd W , El Paso TX 79925-7701