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NPI Code Detail

MEDICARE: JAVIER ELIAS CORTINAS MD

MEDICARE: JAVIER ELIAS CORTINAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianJ2939TX
2207P00000XEmergency Medicine PhysicianJ2939TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588663710
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVIER ELIAS CORTINAS MD
Provider Business Mailing Address
First Line : 4121 N 10TH ST #257
Second Line :
City : MCALLEN
State : TX
Zip : 78504-3004
Country : US
Telephone Number : 956-969-8969
Fax Number : 956-973-9479
Provider Business Practice Location Address
First Line : 5501 S MCCOLL RD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-9152
Country : US
Telephone Number : 956-969-8969
Fax Number : 956-973-9479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 11/19/2008

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Directions to “ JAVIER ELIAS CORTINAS MD” Practice Location

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