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General NPI Number Information
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NPI Number | 1336630656
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Entity Type | Individual
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Provider Name | CHRISTOPHER CORRALES
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Gender | Male
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 11111 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77079-2114
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Country | US
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Telephone | 713-703-1550
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Fax | 346-518-2002
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Provider Business Mailing Address
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Address Line | 11111 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77079-2114
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Country | US
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Telephone | 713-703-1550
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Fax | 346-518-2002
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T0456
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101025621
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | T0456
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License Number State | TX
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