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NPI Code Detail

MEDICARE: AUBREY GMELINE CORPUZ

MEDICARE:   AUBREY GMELINE  CORPUZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center1227929TX

General Provider Information

NPI Number : 1811456346
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY GMELINE CORPUZ
Provider Business Mailing Address
First Line : 2502 ROYAL HIGHLANDS LN
Second Line :
City : CONROE
State : TX
Zip : 77304-2446
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2502 ROYAL HIGHLANDS LN
Second Line :
City : CONROE
State : TX
Zip : 77304-2446
Country : US
Telephone Number : 915-920-6126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2019
Last Update Date : 03/14/2019

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Directions to “ AUBREY GMELINE CORPUZ ” Practice Location

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