Individual
DANIEL G CORREDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11929 W AIRPORT BLVD, SUITE 402, STAFFORD, TX 77477-2451
(281) 494-2644
(281) 494-2650
Mailing address
11929 W AIRPORT BLVD, SUITE 402, STAFFORD, TX 77477-2451
(281) 494-2644
(281) 494-2650
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E9482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111600604
—
TX
01
—
88W393
BCBS OF TEXAS
TX
01
—
E9482
TEXAS MEDICAL LICENSE
TX
Enumeration date
10/13/2006
Last updated
09/26/2016
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