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Individual

JORGE CORONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 N CARROLL AVE STE 150, SOUTHLAKE, TX 76092-6454
(210) 941-2258
Mailing address
209 S SHADY SHORES DR # 300-177, LAKE DALLAS, TX 75065-2973
(214) 536-0873

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T0758
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2018
Last updated
04/08/2026
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