Provider Demographics
NPI:1639155914
Name:CORDOVA-HOY, ANNETTE M (MD)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:M
Last Name:CORDOVA-HOY
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10657 VISTA DEL SOL DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4528
Mailing Address - Country:US
Mailing Address - Phone:915-594-9600
Mailing Address - Fax:915-594-9601
Practice Address - Street 1:10657 VISTA DEL SOL DR
Practice Address - Street 2:SUITE F
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4528
Practice Address - Country:US
Practice Address - Phone:915-594-9600
Practice Address - Fax:915-594-9601
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2015-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH7285207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1255796-09Medicaid
TX1255796-08Medicaid
TXTXB127933Medicare PIN
F71876Medicare UPIN