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NPI Code Detail

MEDICARE: ROMULO CORRADA M.D.

MEDICARE:   ROMULO  CORRADA  M.D.
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
1207V00000XObstetrics & Gynecology Physician08971TX
2207V00000XObstetrics & Gynecology PhysicianJ8971TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114924446
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMULO CORRADA M.D.
Provider Business Mailing Address
First Line : 7121 S SPID DR
Second Line : STE 200
City : CORPUS CHRISTI
State : TX
Zip : 78412-4940
Country : US
Telephone Number : 361-993-6000
Fax Number : 361-993-3676
Provider Business Practice Location Address
First Line : 7121 S SPID DR
Second Line : STE 200
City : CORPUS CHRISTI
State : TX
Zip : 78412-4940
Country : US
Telephone Number : 361-993-6000
Fax Number : 361-993-3676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 05/18/2021

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Directions to “ ROMULO CORRADA M.D.” Practice Location

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