| Xxx-xx-xxxx | |
|
11111 Katy Fwy Ste 625 Houston TX 77079-2132 | |
| (713) 703-1550 | |
| (346) 518-2002 |
| Full Name | Xxx-xx-xxxx |
|---|---|
| Speciality | Family Medicine |
| Location | 11111 Katy Fwy Ste 625, Houston, Texas |
| Authorized Official Name and Position | Christopher Daniel Corrales (PHYSICIAN/DIRECTOR) |
| Authorized Official Contact | 7134891802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xxx-xx-xxxx 11111 Katy Fwy Ste 625 Houston TX 77079-2132 | Xxx-xx-xxxx 11111 Katy Fwy Ste 625 Houston TX 77079-2132 Ph: (713) 703-1550 |
| NPI Number | 1386447183 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 07/02/2026 |
| Certification Date | 07/02/2026 |
| Medicare PECOS PAC ID | 9234606104 |
|---|---|
| Medicare Enrollment ID | O20260428002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386447183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | () | Secondary |
| Provider Name | Christopher Corrales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336630656 PECOS PAC ID: 5395134191 Enrollment ID: I20211117000992 |
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