Individual
DR. MICHELLE LYNN CORDOBA KISSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2609 MICHAELANGELO DR, EDINBURG, TX 78539-1417
(956) 362-5650
(956) 362-2574
Mailing address
PO BOX 2646, MCALLEN, TX 78502-2646
(956) 362-5650
(956) 362-2574
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
41885
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
P7092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333675205
—
TX
01
—
333675206
MEDICAID-CSHCN
TX
05
—
468517
—
AZ
Enumeration date
08/16/2007
Last updated
03/28/2023
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