Individual
DR. ELORA PATTANAIK CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
R2311
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2012
Last updated
04/14/2021
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