# CASS CORTEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528354586
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01073551A | IN | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 04/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 136610003 | MEDICARE PTAN | IN |
| 05 | — | 201124720 | — | IN |