Individual
DR. JAVIER CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79905
(915) 545-6626
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G9845
TX
207RH0003X
Hematology & Oncology Physician
Primary
G9845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127648706
—
TX
01
—
8B5078
BCBS OF TEXAS
TX
Enumeration date
06/06/2006
Last updated
09/16/2021
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