Individual
ALEJANDRO PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S PARK LN, ALTUS, OK 73521-5755
(580) 379-6650
(580) 379-6659
Mailing address
205 S PARK LN, ALTUS, OK 73521-5755
(580) 379-6650
(580) 379-6659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31406
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200596050A
—
OK
Enumeration date
06/26/2012
Last updated
03/08/2016
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