Individual
BENJAMIN OSCAR CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
412 CORRIENTE TRL, AZLE, TX 76020-3641
(817) 360-3363
Mailing address
412 CORRIENTE TRL, AZLE, TX 76020-3641
(817) 360-3363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
959759
TX
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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