Cordes, Jeffrey Alan
Cordes, Jeffrey Alan is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Cordes, Jeffrey Alan can be contacted via phone (210) 358-4000.Contact Information
Primary practice address
4502 Medical Dr
San Antonio TX 78229-4402
Phone: (210) 358-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | J1947 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | J1947 | Texas |
Profile Details
| NPI number | 1710083860 |
|---|---|
| LBN Legal business name | Cordes, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Apr 17th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710083860 | NPPES |
| Texas | MEDICAID | 129494407 | |
| Texas | MEDICAID | P082V4592 | |
| Texas | Other | 1294944 |
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