Active NPI
Alex S Cordova, LSA
- Surgery Physician
- El Paso, TX
National Provider Identifier
1750428835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- SA00061
- Practice address
- 6737 El Parque
El Paso, TX 79912 - Phone
- (915) 588-5574
- Fax
- (915) 845-0856
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | SA00061 | TX | Primary |
Addresses
Primary practice location
6737 El Parque
El Paso, TX 79912
Mailing address
P.O. Box 220802
El Paso, TX 79913
Phone (915) 588-5574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078JR | Other | TX | BCBS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00061 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750428835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 220802",
"city": "EL PASO",
"state": "TX",
"postal_code": "79913",
"telephone_number": "915-588-5574",
"fax_number": "915-845-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6737 EL PARQUE",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-588-5574",
"fax_number": "915-845-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "ALEX",
"middle_name": "S",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "SA00061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0078JR",
"state": "TX"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.