ALFONSO CORDOBA MD NPI 1760589022

NPI Information

NPI: 1760589022
Provider Name: ALFONSO CORDOBA, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
17203 RED OAK DR
SUITE 101
HOUSTON, TX
ZIP 77090
Phone: (281) 893-6610
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Alfonso Cordoba, MD is a vascular surgery surgery in Houston, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Alfonso Cordoba, MD NPI is 1760589022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17203 RED OAK DR
SUITE 101
HOUSTON, TX
ZIP 77090
Phone: (281) 893-6610
Fax: (281) 893-3658

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	F1476	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00KE34	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	00KE34	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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