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Contact Information

ALFONSO CORDOBA M.D., P.A.
17203 RED OAK DR.
SUITE 101
HOUSTON, TX77090
 Phone: 281-893-6610
 Fax: 281-893-3658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALFONSO CORDOBA MD PA · (Female)

NPI # 1457652547
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2010
Last updated 03/04/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # F1476
  • TX Medicaid 089849602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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