Provider Demographics
NPI:1538969951
Name:CORRAL, DINA
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:CORRAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 NELSONS LNDG
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-7247
Mailing Address - Country:US
Mailing Address - Phone:214-529-4678
Mailing Address - Fax:
Practice Address - Street 1:2918 NELSONS LNDG
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-7247
Practice Address - Country:US
Practice Address - Phone:214-529-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter