| Doctor Name: | MR. RANDY CORTEZ |
| NPI Number: | 1639400716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., PHLEBOTOMY TEC |
| License Number: | |
| Business Practice Address: | 1806 Illinois Ave Port Isabel, TX - 785784217 |
| Business Phone Number: | 9565256997 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1349, PORT ISABEL |
| State: | TX |
| Postal Code: | 785781349 |
| Phone Number: | 9565256997 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2010 |
| NPI Last Update Date: | 01/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |