| David F. Corral, M.d., P.a. | |
|
6410 Southwest Blvd Suite #220 Benbrook TX 76109-3920 | |
| (817) 377-9100 | |
| (817) 377-3444 |
| Full Name | David F. Corral, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6410 Southwest Blvd, Benbrook, Texas |
| Authorized Official Name and Position | David F Corral (PRESIDENT) |
| Authorized Official Contact | 8173779100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David F. Corral, M.d., P.a. 6410 Southwest Blvd Suite #220 Benbrook TX 76109-3920 Ph: (817) 377-9100 | David F. Corral, M.d., P.a. 6410 Southwest Blvd Suite #220 Benbrook TX 76109-3920 Ph: (817) 377-9100 |
| NPI Number | 1942446422 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 01/05/2009 |
| Medicare PECOS PAC ID | 4880758150 |
|---|---|
| Medicare Enrollment ID | O20090131000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942446422 | NPI | - | NPPES |
| 098282903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H7400 (Texas) | Primary |
| Provider Name | David F Corral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003846882 PECOS PAC ID: 5991784811 Enrollment ID: I20040715000259 |
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