Active NPI
Luis C. Cordova, FNP-C
- Family Nurse Practitioner
- El Paso, TX
National Provider Identifier
1366460842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 608063
- Practice address
- 9208 WH Burges Dr
El Paso, TX 79925-5117 - Phone
- (915) 790-7123
- Fax
- (915) 591-3883
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 608063 | TX | Primary |
Addresses
Primary practice location
9208 WH Burges Dr
El Paso, TX 79925-5117
Mailing address
9208 WH Burges Dr
El Paso, TX 79925-5117
Phone (915) 790-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608063 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Carenow Urgent Care, PLLC | Current | Accepting new patients | |
| St. David'S Carenow Urgent Care PLLC | Past | Accepting new patients |
Locations
9100 Viscount Blvd
Ste E
El Paso, TX 79925
Phone (915) 594-4475
9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475
7480 Paseo del Norte
El Paso, TX 79911
Phone (915) 308-2060
1801 N Zaragoza Rd
Ste A
El Paso, TX 79936
Phone (915) 249-3106
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1417435827
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1366460842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9208 WH BURGES DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799255117",
"telephone_number": "915-790-7123",
"fax_number": "915-591-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9208 WH BURGES DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799255117",
"telephone_number": "915-790-7123",
"fax_number": "915-591-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "LUIS",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "608063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.