Provider Demographics
NPI:1073350989
Name:CORTEZ, BREIANNA SHAE (PA-C)
Entity type:Individual
Prefix:
First Name:BREIANNA
Middle Name:SHAE
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5228
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:3506 21ST ST STE 507
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1233
Practice Address - Country:US
Practice Address - Phone:806-725-4805
Practice Address - Fax:806-723-7076
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-09-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant