Organization
DAVID F. CORRAL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F CORRAL M.D. (PRESIDENT)
(817) 377-9100
Entity
Organization
Contact information
Practice address
6410 SOUTHWEST BLVD, SUITE #220, BENBROOK, TX 76109-3920
(817) 377-9100
(817) 377-3444
Mailing address
6410 SOUTHWEST BLVD, SUITE #220, BENBROOK, TX 76109-3920
(817) 377-9100
(817) 377-3444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H7400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098282903
—
TX
Enumeration date
01/05/2009
Last updated
01/05/2009
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