Alfonso Cordoba M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F1476 Issued in TX

Legal business name

ALFONSO CORDOBA M.D., P.A.

Practice address

17203 Red Oak Dr.
Suite 101
Houston, TX 77090

Phone

(281) 893-6610

Fax

(281) 893-3658

NPI assigned

Nov 5, 2010

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alfonso Cordoba, M.D., P.A.NPI 1760589022

Title

Owner

Phone

(281) 893-6610

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfonso Cordoba, MD

  • Vascular Surgery Physician
  • Houston, TX
  • NPI 1760589022
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1457652547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 73626",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR.",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-893-6610",
            "fax_number": "281-893-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO CORDOBA M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "CORDOBA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-893-6610",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F1476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089849602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Alfaro
• Rasha Alfattal, MD
• Alfi Oral Surgery, PA
• David Michael Alfi, D.D.S., M.D.
• Nilofur Jariwalla Alfi, D.D.S.
• Albert Angelo Alfonso, DDS
• Kristan Alfonso, MD
• Carmalita Alford-Simmons
• Catherine Ann Alford, OTR/L
• Connie Jean Alford, RN, APN-BC

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.