Daniel G Corredor, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

E9482 Issued in TX

Practice address

11929 W Airport Blvd
Suite 402
Stafford, TX 77477-2451

Phone

(281) 494-2644

Fax

(281) 494-2650

NPI assigned

Oct 13, 2006

Last updated

Sep 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Daniel G Corredor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel G Corredor MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Stafford, TX
  • NPI 1649372657
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1003906512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11929 W AIRPORT BLVD",
            "address_2": "SUITE 402",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772451",
            "telephone_number": "281-494-2644",
            "fax_number": "281-494-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 W AIRPORT BLVD",
            "address_2": "SUITE 402",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772451",
            "telephone_number": "281-494-2644",
            "fax_number": "281-494-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREDOR",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "E9482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "88W393",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "E9482",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111600604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "CORREDOR",
            "middle_name": "G",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Stafford, TX
• Providers in Stafford, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.