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General NPI Number Information
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NPI Number | 1609719905
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Entity Type | Organization
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Legal Business Name | IRVIN CORRE PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 04/11/2026
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Last Update Date | 04/11/2026
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Provider Practice Location Address
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Address Line | 2726 HIGHWAY 35 N
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City | ROCKPORT
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State | TX
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Zip | 78382-5709
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Country | US
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Telephone | 361-729-5357
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Fax | 361-727-2036
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Provider Business Mailing Address
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Address Line | 2726 HIGHWAY 35 N
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City | ROCKPORT
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State | TX
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Zip | 78382-5709
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Country | US
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Telephone | 361-729-5357
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Fax | 361-727-2036
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Authorized Official
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Title or Position | CREDENTIALIST
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Name | AL BERRY
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Credential |
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Telephone | 469-915-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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