| Conrado J Ordonez Md Pa | |
|
5633 Avenue I Rosenberg TX 77471-6191 | |
| (281) 238-0443 | |
| (281) 238-0899 |
| Full Name | Conrado J Ordonez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5633 Avenue I, Rosenberg, Texas |
| Authorized Official Name and Position | Conrado Javier Ordonez (PRESIDENT) |
| Authorized Official Contact | 2812380443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrado J Ordonez Md Pa 5633 Avenue I Rosenberg TX 77471-6191 Ph: (281) 238-0443 | Conrado J Ordonez Md Pa 5633 Avenue I Rosenberg TX 77471-6191 Ph: (281) 238-0443 |
| NPI Number | 1316053754 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 07/29/2009 |
| Medicare PECOS PAC ID | 4880743194 |
|---|---|
| Medicare Enrollment ID | O20090515000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316053754 | NPI | - | NPPES |
| 130913005 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Conrado J Ordonez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124225453 PECOS PAC ID: 1759340920 Enrollment ID: I20041005000511 |
| Provider Name | Conrado J Ordonez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043506777 PECOS PAC ID: 0648595322 Enrollment ID: I20150223000456 |
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