Individual
DR. WILLIBALDO OJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15475
PR
207RC0000X
Cardiovascular Disease Physician
15475
PR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
15475
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8GV409
BCBS
TX
Enumeration date
06/16/2007
Last updated
07/21/2022
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