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CORNERSTONE FAMILY CARE PA NPI 1750463600


NPI Information

NPI: 1750463600
Provider Name: CORNERSTONE FAMILY CARE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
236 E LOOP 255
TEAGUE, TX
ZIP 75860
Phone: (254) 739-5090
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CORNERSTONE FAMILY CARE PA is a family medicine in Teague, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CORNERSTONE FAMILY CARE PA NPI is 1750463600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

236 E LOOP 255
TEAGUE, TX
ZIP 75860-240
Phone: (254) 739-5090
Fax: (254) 739-5666

The provider's authorized official is Stephanie Denise Redding .
The authorized official title is Owner and has the following contact phone number (254) 739-5090.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 2/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
167-3896MEDICARE ID-TYPE UNSPECIFIEDTEXASRHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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