ALFONSO CORDOBA (NPI# 1760589022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760589022 |
| Entity Type | Individual |
| Full Name | ALFONSO CORDOBA |
| Credential | MD |
| Practice Address |
17203 Red Oak Dr Suite 101 Houston TX 77090 |
| Practice Telephone | 2818936610 |
| Practice Fax Number | 2818933658 |
| Mailing Telephone | 2818936610 |
| Mailing Fax Number | 2818933658 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
F1476 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
17203 RED OAK DR SUITE 101 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617914 | Phillip G Sutton | Specialist | 17203 Red Oak Dr, Suite 103, Houston, TX 77090-2612 | 2005-05-24 |
| 1134417942 | Jose C. Sagbini, M.d. P.a. | General Practice | 17203 Red Oak Dr, Suite 203, Houston, TX 77090-2640 | 2011-07-13 |
| 1306146873 | Rafael G Borges, M.d. | Health Maintenance Organization | 17203 Red Oak Dr, Suite 201, Houston, TX 77090-2640 | 2010-10-29 |
| 1669646535 | Phillip G Sutton Md Pa | Surgery | 17203 Red Oak Dr, Suite 103, Houston, TX 77090-2640 | 2008-04-22 |
| 1750563276 | Family Medicine Clinic | Health Maintenance Organization | 17203 Red Oak Dr, Suite 201, Houston, TX 77090-2640 | 2007-11-27 |
| 1255406930 | Rafael G Borges | Family Medicine | 17203 Red Oak Dr, Suite 201, Houston, TX 77090-2640 | 2006-11-21 |
| 1952361750 | Luis S Acosta | Internal Medicine | 17203 Red Oak Dr, Suite 201, Houston, TX 77090 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1609303171 | Ross Gene Mcfall | Surgery | 6550 Fannin St # Sm1401, Houston, TX 77030-2717 | 2017-05-16 |
| 1093017063 | Southeast Texas Clinical Research and Education Inc | Surgery | 5925 Almeda Rd, North Tower Suite 717, Houston, TX 77004-7602 | 2010-11-24 |
| 1710150461 | Cardiothoracic and Vascular Surgery, Pllc | Surgery | 12327 N Shadow Cove Dr, Houston, TX 77082-2503 | 2008-04-02 |
| 1770760522 | Arash Keyhani | Surgery | 1631 North Loop W Ste 610, Houston, TX 77008-1552 | 2008-01-23 |
| 1447397716 | Jayer Chung | Surgery | 6620 Main Street (baylor College of Medicine), Suite 1325, Houston, TX 77030 | 2007-01-30 |
| 1366466914 | Damian Victorio Chaupin | Surgery | 800 Peakwood Drive, Suite 5g, Houston, TX 77090 | 2006-07-27 |
| 1427077817 | Jose Gabriel Monsalvez | Surgery | 4126 Southwest Fwy Ste 1100, Houston, TX 77027-7358 | 2006-07-18 |
| 1962471227 | William P Kalchoff | Surgery | 8313 Sw Fwy, Suite 201, Houston, TX 77074-1611 | 2006-03-17 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.