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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 M.D., P.A.

NPI # 1457652547
LBN Legal business name ALFONSO CORDOBA M.D., P.A.
Authorized official ALFONSO CORDOBA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2010
Last updated 03/04/2011 - About 15 years ago
Identifiers
TX License # F1476
TX Medicaid 089849602
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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