Provider Demographics
NPI:1578756474
Name:CORTES, PETE (OT-C)
Entity Type:Individual
Prefix:
First Name:PETE
Middle Name:
Last Name:CORTES
Suffix:
Gender:M
Credentials:OT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W 38TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1130
Mailing Address - Country:US
Mailing Address - Phone:512-450-1300
Mailing Address - Fax:512-450-1339
Practice Address - Street 1:900 W 38TH ST STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1130
Practice Address - Country:US
Practice Address - Phone:512-450-1300
Practice Address - Fax:512-450-1339
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07-0819246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist