Individual
JUDDIE CORREOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12343 MAIN ST, HOUSTON, TX 77035-6205
(713) 597-2020
Mailing address
12343 MAIN ST, HOUSTON, TX 77035-6205
(713) 597-2020
(281) 990-6841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9720TG
TX
Other
Enumeration date
06/25/2019
Last updated
11/12/2020
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