Organization
DANIEL G CORREDOR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GUSTAVO CORREDOR MD (MEDICAL DOCTOR)
(281) 494-2644
Entity
Organization
Contact information
Practice address
11929 W AIRPORT BLVD, STE 402, STAFFORD, TX 77477-2451
(281) 494-2644
(281) 494-2650
Mailing address
11929 W AIRPORT BLVD, STE 402, STAFFORD, TX 77477-2451
(281) 494-2644
(281) 494-2650
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E9482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048RA
BCBS OF TEXAS
TX
05
—
281926001
—
TX
Enumeration date
09/01/2006
Last updated
09/26/2016
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