Provider Demographics
NPI:1033638408
Name:CORDUA, LUCIA (LICENSED ACUPUNCTURI)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:CORDUA
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SADDLEWOOD ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6841
Mailing Address - Country:US
Mailing Address - Phone:713-542-0886
Mailing Address - Fax:
Practice Address - Street 1:1415 S VOSS RD # 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1086
Practice Address - Country:US
Practice Address - Phone:713-542-0886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-16
Last Update Date:2017-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01664171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist