Organization
COREAS FAMILY HEALTH CLINIC - LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCENIO COREA FNP (OWNER)
(210) 730-1648
Entity
Organization
Contact information
Practice address
1008 PASEO DE TIBER STE B, LAREDO, TX 78046-8939
(210) 730-1648
Mailing address
123 CORONADO AVE, LAREDO, TX 78043-4747
(210) 730-1648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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