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PATRICIA P CORKE, MDPA

Behavioral Analyst

Houston, Texas

Provider NPI: 1811140015

Organization Information:
Organization Name:  PATRICIA P CORKE, MDPA
Organization is not Subpart
Authorized Official:  SONIA  BANDA  BILLING  281-3335740

Practice Location:
18333 EGRET BAY BLVD SUITE 305 HOUSTON, TX 77058 US
Tel: 281-333-5740  Fax: 281-333-4013

Business Mailing Address:
18333 EGRET BAY BLVD SUITE 305 HOUSTON, TX 77058 US
Tel: 281-333-5740  Fax: 281-333-4013

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

TXD4962

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD91MQTX01
115477501TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS TX - Page 1



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