Provider Demographics
NPI:1083905665
Name:CORTEZ, ELIAS Z (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ELIAS
Middle Name:Z
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17202 RED OAK DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2647
Mailing Address - Country:US
Mailing Address - Phone:281-440-9500
Mailing Address - Fax:281-440-9503
Practice Address - Street 1:17202 RED OAK
Practice Address - Street 2:SUITE 303
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2647
Practice Address - Country:US
Practice Address - Phone:281-440-9500
Practice Address - Fax:281-440-9503
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697661363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner