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NPI Code Detail

MEDICARE: JOSE CARLOS CORTEZ M.D.

MEDICARE: JOSE CARLOS CORTEZ 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
1208800000XUrology PhysicianH0267TX
22088P0231XPediatric Urology PhysicianH0267TX

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 : 1548262728
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE CARLOS CORTEZ M.D.
Provider Business Mailing Address
First Line : 1301 BARBRA JORDAN BLVD.
Second Line : SUITE 302
City : AUSTIN
State : TX
Zip : 78723-3078
Country : US
Telephone Number : 512-472-6134
Fax Number : 512-472-2928
Provider Business Practice Location Address
First Line : 1301 BARBRA JORDAN BLVD.
Second Line : SUITE 302
City : AUSTIN
State : TX
Zip : 78723-3078
Country : US
Telephone Number : 512-472-6134
Fax Number : 512-472-2928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/28/2016

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Directions to “ JOSE CARLOS CORTEZ M.D.” Practice Location

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