Individual
DR. JEFFREY ALAN CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J1947
TX
2084P0805X
Geriatric Psychiatry Physician
J1947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1294944
TPI (MEDICAID)
TX
05
—
129494407
—
TX
05
—
P082V4592
—
TX
Enumeration date
09/16/2006
Last updated
04/17/2019
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