# FERNANDO E CORREA, M.D., A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1891139507
- **Authorized official:** DR. FERNANDO E CORREA M.D. (PRESIDENT)
- **Authorized official phone:** (402) 731-9100

## Contact information

- **Practice address:** 4828 S 24TH ST, OMAHA, NE 68107-2703
- **Practice address phone:** (402) 731-9100
- **Practice address fax:** (402) 731-1297
- **Mailing address:** 4828 S 24TH ST, OMAHA, NE 68107-2703
- **Mailing address phone:** (402) 731-9100
- **Mailing address fax:** (402) 731-1297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18632 | NE | Yes |

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 05/07/2013