Organization Active NPI

Stevan Cordas DO, PA

  • Occupational Medicine Physician
  • Hurst, TX
National Provider Identifier
1649384702
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
D5368 Issued in TX
Legal business name
STEVAN CORDAS DO, PA
Practice address
1237 Southridge CT
Suite 102
Hurst, TX 76053-4393
Phone
(817) 268-1757
Fax
(817) 268-1766
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Stevan Cordas, DO MPH
Title
President
Phone
(817) 268-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X D5368 TX Primary

Addresses

Primary practice location

1237 Southridge CT
Suite 102
Hurst, TX 76053-4393

Mailing address

1237 Southridge CT
Suite 102
Hurst, TX 76053-4393
Phone (817) 268-1757

National Provider Directory

National Provider Directory

Locations

1237 Southridge Ct
Ste 102
Hurst, TX 76053
Phone (817) 268-1757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1649384702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 SOUTHRIDGE CT",
            "address_2": "SUITE 102",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534393",
            "telephone_number": "817-268-1757",
            "fax_number": "817-268-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 SOUTHRIDGE CT",
            "address_2": "SUITE 102",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534393",
            "telephone_number": "817-268-1757",
            "fax_number": "817-268-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVAN CORDAS DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "CORDAS",
        "authorized_official_first_name": "STEVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-268-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO MPH"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "D5368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.