Bocanegra, Ingrid

Bocanegra, Ingrid is an individual health care provider with primary practice located at 4800 Fournace Pl , Bellaire TX 77401-2324. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bocanegra, Ingrid can be contacted via phone (346) 426-0478.

Contact Information

Primary practice address
4800 Fournace Pl Bellaire TX 77401-2324
Phone: (346) 426-0478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01073251A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R0362 Texas

Profile Details

NPI number 1902125503
LBN Legal business name Bocanegra, Ingrid
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2010
Last updated Aug 19th, 2022 - about 4 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 1902125503 NPPES
Indiana Other 000000851833 ANTHEM PIN FOR FAMILY MEDICINE TIN 35-2030653
Indiana Other 000000865042 ANTHEM PIN FOR FAMILY MEDICINE TIN 35-2030653
Indiana MEDICAID 201093580 ANTHEM PIN FOR FAMILY MEDICINE TIN 35-2030653

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