Provider Demographics
NPI:1700597549
Name:CORTEZ, KARLA EMELINA (MPH)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:EMELINA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 MATAGORDA ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-1018
Mailing Address - Country:US
Mailing Address - Phone:210-801-2192
Mailing Address - Fax:
Practice Address - Street 1:921 MATAGORDA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-1018
Practice Address - Country:US
Practice Address - Phone:210-801-2192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine