Individual
COREY LYNN PROENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
Mailing address
3169 MARIANNWOOD DR, PORT NECHES, TX 77651-6015
(409) 963-6532
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1191811
TX
Other
Enumeration date
02/18/2025
Last updated
03/02/2025
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