Provider Demographics
NPI:1225011109
Name:FONT-CORDOBA, JOSE F (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:F
Last Name:FONT-CORDOBA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1100 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4813
Mailing Address - Country:US
Mailing Address - Phone:210-271-3204
Mailing Address - Fax:210-222-2761
Practice Address - Street 1:1100 MCCULLOUGH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4813
Practice Address - Country:US
Practice Address - Phone:210-271-3204
Practice Address - Fax:210-222-2761
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-26522207RC0000X
TXK2468207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CU256OtherBCBS
TX047471004Medicaid
TXP00948229OtherRAILROAD
TX047471004Medicaid
TX8CU256OtherBCBS
TX047471004Medicaid