Healthcare Provider Details

I. General information

NPI: 1386447183
Provider Name (Legal Business Name): CHRISTOPHER CORRALES DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 KATY FWY STE 625
HOUSTON TX
77079-2132
US

IV. Provider business mailing address

11111 KATY FWY STE 625
HOUSTON TX
77079-2132
US

V. Phone/Fax

Practice location:
  • Phone: 713-703-1550
  • Fax: 346-518-2002
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER DANIEL CORRALES
Title or Position: PHYSICIAN/DIRECTOR
Credential: DO
Phone: 713-703-1550