Individual
DR. STEPHEN ARCHIE CORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
(806) 792-9466
Mailing address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
(806) 792-9466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E8406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089723301
—
TX
01
—
89101Y
BLUE CROSS
TX
Enumeration date
09/06/2006
Last updated
08/25/2009
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