Cordero, Manuel Robert

Cordero, Manuel Robert is an sole proprietor health care provider with primary practice located at 8401 Datapoint Dr Ste 301 , San Antonio TX 78229-5904. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Cordero, Manuel Robert can be contacted via phone (210) 354-1186.

Contact Information

Primary practice address
8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904
Phone: (210) 354-1186
Fax: (210) 354-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11726 Texas

Profile Details

NPI number 1013903012
LBN Legal business name Cordero, Manuel Robert
Credentials M.ED.,LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2005
Last updated Nov 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013903012 NPPES
Texas MEDICAID 026505001

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