Healthcare Provider Details

I. General information

NPI: 1932308921
Provider Name (Legal Business Name): CORTEZ FAMILY ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 12/28/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 S BEECH ST
CORTEZ CO
81321-3744
US

IV. Provider business mailing address

PO BOX 681
CORTEZ CO
81321-0681
US

V. Phone/Fax

Practice location:
  • Phone: 970-565-0230
  • Fax: 970-565-3463
Mailing address:
  • Phone: 970-565-0230
  • Fax: 970-565-3463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number897
License Number StateCO

VIII. Authorized Official

Name: MR. ANDREW PARKS
Title or Position: PRESIDENT
Credential:
Phone: 970-565-0230