Individual
DR. CORAZON LEDESMA LLARENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10611 GARLAND RD, SUITE 114, DALLAS, TX 75218-2666
(214) 321-4231
(214) 327-1684
Mailing address
10611 GARLAND RD, SUITE 114, DALLAS, TX 75218-2666
(214) 321-4231
(214) 327-1684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G8544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00GP64
BLUE CROSS BLUE SHIELD
TX
05
—
033647101
—
TX
Enumeration date
06/04/2006
Last updated
07/22/2010
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