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Individual

DAVID F CORRAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6410 SOUTHWEST BLVD, SUITE 220, BENBROOK, TX 76109-3914
(817) 377-9100
(817) 377-3444
Mailing address
6410 SOUTHWEST BLVD, SUITE 220, BENBROOK, TX 76109-3914
(817) 377-9100
(817) 377-9100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H7400
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098282903
TX
Enumeration date
07/04/2006
Last updated
01/05/2009
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