David F. Corral, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H7400 Issued in TX

Legal business name

DAVID F. CORRAL, M.D., P.A.

Practice address

6410 Southwest Blvd
Suite #220
Benbrook, TX 76109-3920

Phone

(817) 377-9100

Fax

(817) 377-3444

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

David F Corral, M.D.NPI 1003846882

Title

President

Phone

(817) 377-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David F Corral, MD

  • Internal Medicine Physician
  • Benbrook, TX
  • NPI 1003846882
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1942446422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD",
            "address_2": "SUITE #220",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093920",
            "telephone_number": "817-377-9100",
            "fax_number": "817-377-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD",
            "address_2": "SUITE #220",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093920",
            "telephone_number": "817-377-9100",
            "fax_number": "817-377-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F. CORRAL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-377-9100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H7400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098282903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Peter Damico
• Deoney Daniels
• Danny R. Thomas, M.D., P.a.
• Tu Dao
• Wayne R Darner, PT
• Angela Davis
• Shia Michelle Davis
• Jane Elizabeth De Grasse, O.D.
• Michele Defley, OTR, CHT
• Jada Degrate

• Internal Medicine Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.