Individual
MRS. MARIAN E CORDOVEZ-TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3220 CENTRAL MALL DR., PORT ARTHUR, TX 77642
(409) 729-7900
(409) 727-5277
Mailing address
3220 CENTRAL MALL DR., PORT ARTHUR, TX 77642
(409) 729-7900
(409) 727-5277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J8970
TX
208000000X
Pediatrics Physician
Primary
J8970
TX
Other
Enumeration date
12/22/2005
Last updated
06/17/2008
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