| Cornerstone Family Health Care | |
|
720 Grand Ave Ardmore OK 73401-4343 | |
| (580) 226-9994 | |
| (580) 226-9998 |
| Full Name | Cornerstone Family Health Care |
|---|---|
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 720 Grand Ave, Ardmore, Oklahoma |
| Authorized Official Name and Position | Anna B Burson (OWNER) |
| Authorized Official Contact | 5802269994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Health Care 720 Grand Ave Ardmore OK 73401-4343 Ph: (580) 226-9994 | Cornerstone Family Health Care 720 Grand Ave Ardmore OK 73401-4343 Ph: (580) 226-9994 |
| NPI Number | 1164530929 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164530929 | NPI | - | NPPES |
| OK21475 | Other | OK | OK LICENSE # |
| 1437109394 | Other | OK | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21475 (Oklahoma) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 21475 (Oklahoma) | Primary |
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