Individual
NESTOR JOSE CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36000 DARNALL LOOP, FORT CAVAZOS, TX 76544-5095
(254) 287-1225
Mailing address
36000 DARNALL LOOP, FORT CAVAZOS, TX 76544-5095
(254) 287-1225
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
TX
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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