Provider Demographics
NPI:1558483958
Name:CORIA, JEAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:F
Last Name:CORIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2300 CASTLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-2712
Mailing Address - Country:US
Mailing Address - Phone:817-999-5134
Mailing Address - Fax:817-633-1504
Practice Address - Street 1:2300 CASTLE ROCK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-2712
Practice Address - Country:US
Practice Address - Phone:817-999-5134
Practice Address - Fax:817-633-1504
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG64922083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine