Individual
JESUS ALFREDO CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-5967
(979) 731-5916
Mailing address
2800 S TEXAS AVE STE 202, BRYAN, TX 77802-5361
(979) 680-5474
(979) 680-5478
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0089143
MD
208VP0014X
Interventional Pain Medicine Physician
D0089143
MD
208VP0014X
Interventional Pain Medicine Physician
MD.61122723
WA
208VP0014X
Interventional Pain Medicine Physician
Primary
S2750
TX
Other
Enumeration date
04/10/2015
Last updated
06/19/2025
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