Individual
DR. CHRISTOPHER DAVID CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25222 NORTHWEST FWY APT 185, CYPRESS, TX 77429-1038
(832) 743-0508
(832) 743-0588
Mailing address
14502 CYPRESS MILL PLACE BLVD STE 200, CYPRESS, TX 77429-7300
(832) 743-0508
(832) 743-0588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C9075
MEDICARE NUMBER
TX
01
—
2456064
WELLCARE ID
TX
05
—
346947003
—
TX
01
—
7854240001
DME LICENSE NUMBER
TX
01
—
8MT028
BLUE CROSS AND BLUE SHIELD
TX
01
—
P02482063
RAIL ROAD MEDICARE
TX
Enumeration date
07/30/2012
Last updated
03/07/2022
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