Individual
DANIEL CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 21ST ST STE 200, LUBBOCK, TX 79410-1006
(806) 687-0338
(806) 687-4326
Mailing address
3801 21ST ST STE 200, LUBBOCK, TX 79410-1006
(806) 687-0338
(806) 687-4326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7191
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
05/11/2015
Last updated
06/02/2021
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