MEDICARE: ANNETTE M CORDOVA-HOY M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	H7285	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1639155914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE M CORDOVA-HOY M.D.

Provider Business Mailing Address
First Line	:	10657 VISTA DEL SOL DR
Second Line	:	SUITE F
City	:	EL PASO
State	:	TX
Zip	:	79935-4528
Country	:	US
Telephone Number	:	915-594-9600
Fax Number	:	915-594-9601

Provider Business Practice Location Address
First Line	:	10657 VISTA DEL SOL DR
Second Line	:	SUITE F
City	:	EL PASO
State	:	TX
Zip	:	79935-4528
Country	:	US
Telephone Number	:	915-594-9600
Fax Number	:	915-594-9601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	03/05/2015

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