Provider Demographics
NPI:1912145285
Name:CORDES, BRETT MCCORMACK (MD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:MCCORMACK
Last Name:CORDES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 1480
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-795-5343
Mailing Address - Fax:713-795-4851
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1480
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-795-5343
Practice Address - Fax:713-795-4851
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2011-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN1594207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L16202Medicare PIN