Individual
LUIS CARLOS CORRAL GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 FIFTH AVE, MCKEESPORT, PA 15132-2422
(713) 482-1059
Mailing address
1500 FIFTH AVENUE, MCKEESPORT, PA 15132
(713) 482-1059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2839
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT206946
PA
Other
Enumeration date
06/06/2014
Last updated
10/13/2017
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