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Individual

DR. JOEHASSIN CORDERO

Active
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Individual

DR. JOEHASSIN CORDERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L6841
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044802901
TX
05
100220970A
OK
01
110806100
FIRSTCARE COMMERCIAL
TX
05
110806101
TX
05
141303101
TX
01
201021532
FIRSTCARE COMMERCIAL
TX
05
201021532
NM
01
83935Z
HMO BLUE
TX
01
87187G
BC/BS
TX
01
A019
TRIWEST
NM
05
Z5551
NM
Enumeration date
11/30/2005
Last updated
03/25/2021
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