Acosta-Corrales, Manuel L.

Acosta-Corrales, Manuel L. is an individual health care provider with primary practice located at 1655 Mosswood St , El Paso TX 79935-3435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Acosta-Corrales, Manuel L. can be contacted via phone (915) 591-7700.

Contact Information

Primary practice address
1655 Mosswood St El Paso TX 79935-3435
Fax: (915) 591-3170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E3635 Texas

Profile Details

NPI number 1083615595
LBN Legal business name Acosta-Corrales, Manuel L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083615595 NPPES
Texas MEDICAID 031804001

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