Individual
DAVID DICKSON CORLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H4251
TX
207RI0011X
Interventional Cardiology Physician
H4251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110188988
RAIL ROAD MEDICARE
TX
05
—
1253643-02
—
TX
05
—
125364305
—
TX
01
—
85K259
BLLUE CROSS
TX
Enumeration date
10/05/2005
Last updated
08/18/2022
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