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Individual

DR. CORRIE ELIZABETH CHUMPITAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6621 FANNIN ST # A-2210, HOUSTON, TX 77030-2303
(832) 824-2000
(832) 825-5424
Mailing address
12523 STONEY CREEK DR, PEARLAND, TX 77584-9488
(617) 913-2029
(713) 436-4638

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
221254
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
M6709
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188482702
TX
Enumeration date
10/21/2005
Last updated
05/11/2011
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