Active NPI
Gregorio Cortez III, M.D.
- Internal Medicine Physician
- West Lake Hills, TX
National Provider Identifier
1508853268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F3863
- Practice address
- 1250 S Capital of Texas Hwy
Building 1, Suite 360
West Lake Hills, TX 78746-6446 - Phone
- (512) 347-2726
- Fax
- (885) 261-1378
- NPI assigned
- Sep 28, 2005
- Last updated
- Dec 20, 2011
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F3863 | TX | Primary |
Addresses
Primary practice location
1250 S Capital of Texas Hwy
Building 1, Suite 360
West Lake Hills, TX 78746-6446
Mailing address
7201 Ranch Road 2222
Apt 2322
Austin, TX 78730-3208
Phone (512) 347-2726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036240202 | Medicaid | TX |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3863 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1508853268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 RANCH ROAD 2222",
"address_2": "APT 2322",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787303208",
"telephone_number": "512-347-2726",
"fax_number": "855-261-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S CAPITAL OF TEXAS HWY",
"address_2": "BUILDING 1, SUITE 360",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466446",
"telephone_number": "512-347-2726",
"fax_number": "885-261-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "GREGORIO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-28",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F3863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036240202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.