Individual
WILFREDO CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
6001 KYLE PKWY, KYLE, TX 78640-6112
(512) 610-0332
(512) 685-0872
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
725896
TX
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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