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NPI Code Detail

MEDICARE: DAVID CORDERO

MEDICARE: DAVID CORDERO
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 PhysicianK6757TX

General Provider Information

NPI Number : 1851515084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CORDERO
Provider Business Mailing Address
First Line : 6622 SHADY BEND DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78256-2000
Country : US
Telephone Number : 210-687-1223
Fax Number :
Provider Business Practice Location Address
First Line : 1954 E HOUSTON ST RM 201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78202-2953
Country : US
Telephone Number : 210-527-1505
Fax Number : 210-527-1346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ DAVID CORDERO ” Practice Location

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