Individual
ALEX S CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
6737 EL PARQUE, EL PASO, TX 79912
(915) 588-5574
(915) 845-0856
Mailing address
P.O. BOX 220802, EL PASO, TX 79913
(915) 588-5574
(915) 845-0856
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SA00061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078JR
BCBS
TX
Enumeration date
01/30/2007
Last updated
07/08/2007
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