Individual
DR. JOEHASSIN CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3502 9TH ST, SUITE 410, LUBBOCK, TX 79415-3300
(806) 743-4115
(806) 743-1313
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
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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