Individual
CARLOS CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8726 POTEET JOURDANTON FWY, SAN ANTONIO, TX 78224-2412
(210) 977-8100
(210) 921-1163
Mailing address
PO BOX 780007, SAN ANTONIO, TX 78278-0007
(210) 977-8100
(210) 921-1163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036091613
IL
207R00000X
Internal Medicine Physician
Primary
M3503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205617688
COMMERICAL INSURANCE
—
01
—
8W8890
BCBS TEXAS
TX
Enumeration date
10/04/2005
Last updated
03/08/2023
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