Individual
JOSE MIGUEL CORREA-DIEGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2506 25TH AVE N STE 3, TEXAS CITY, TX 77590-4666
(409) 945-5511
(409) 945-5385
Mailing address
2506 25TH AVE N STE 3, TEXAS CITY, TX 77590-4666
(409) 945-5511
(409) 945-5385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8288-T
TX
152WC0802X
Corneal and Contact Management Optometrist
8288-T
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
8288-T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326469ZMAC
—
TX
Enumeration date
07/30/2013
Last updated
02/10/2025
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