Organization
CORREA PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN J CORREA MD (PRESIDENT)
(832) 779-2778
Entity
Organization
Contact information
Practice address
4850 W PANTHER CREEK DR, #105, THE WOODLANDS, TX 77381-3607
(832) 779-2778
(832) 403-2201
Mailing address
4850 W PANTHER CREEK DR, #105, THE WOODLANDS, TX 77381-3607
(832) 779-2778
(832) 403-2201
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
08/11/2020
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