Individual
IRENE CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1402 W AVENUE H, TEMPLE, TX 76504-5342
(254) 771-8411
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17889
TX
363AM0700X
Medical Physician Assistant
—
TX
Other
Enumeration date
03/18/2024
Last updated
05/22/2025
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