# DANIEL G CORREDOR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649372657
- **Authorized official:** DR. DANIEL GUSTAVO CORREDOR MD (MEDICAL DOCTOR)
- **Authorized official phone:** (281) 494-2644

## Contact information

- **Practice address:** 11929 W AIRPORT BLVD, STE 402, STAFFORD, TX 77477-2451
- **Practice address phone:** (281) 494-2644
- **Practice address fax:** (281) 494-2650
- **Mailing address:** 11929 W AIRPORT BLVD, STE 402, STAFFORD, TX 77477-2451
- **Mailing address phone:** (281) 494-2644
- **Mailing address fax:** (281) 494-2650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | E9482 | TX | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 09/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0048RA | BCBS OF TEXAS | TX |
| 05 | — | 281926001 | — | TX |