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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285731521 NPPES
Texas MEDICAID 178871301
Texas Other 178871302

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