Individual
IMELDA MARGARET CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6624 FANNIN ST STE 2000, HOUSTON, TX 77030-2350
(713) 798-2470
(713) 798-3364
Mailing address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
(713) 798-7880
(713) 798-3364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01553
TX
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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