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Individual
DR. CHRISTOPHER DAVID CORREA
Active
Individual
DR. CHRISTOPHER DAVID CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C9075
MEDICARE NUMBER
TX
01
—
2456064
WELLCARE ID
TX
05
—
346947003
—
TX
01
—
7854240001
DME LICENSE NUMBER
TX
01
—
8MT028
BLUE CROSS AND BLUE SHIELD
TX
01
—
P02482063
RAIL ROAD MEDICARE
TX
Enumeration date
07/30/2012
Last updated
03/07/2022
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