Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2014-00019 | NC |
Y | 2081P2900X | Pain Medicine | 2014-00019 | NC |
NPI | 1164632311 |
---|---|
Provider Name | Erwin Patrick Cortez |
First Address | Bryson City, NC 28713-5065 |
Second Address | Conover, NC 28613-8249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 03/04/2018 |