Cornerstonemd | |
5150 Crenshaw Rd Ste A100 Pasadena TX 77505-3095 | |
(713) 396-2820 | |
(346) 857-0190 |
Full Name | Cornerstonemd |
---|---|
Speciality | Family Medicine |
Location | 5150 Crenshaw Rd Ste A100, Pasadena, Texas |
Authorized Official Name and Position | Louis Gilbert (OWNER) |
Authorized Official Contact | 4096731301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cornerstonemd 518 Pedernales St Webster TX 77598-1582 Ph: () - | Cornerstonemd 5150 Crenshaw Rd Ste A100 Pasadena TX 77505-3095 Ph: (713) 396-2820 |
NPI Number | 1366202848 |
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Provider Enumeration Date | 03/20/2024 |
Last Update Date | 06/24/2024 |
Medicare PECOS PAC ID | 9638511678 |
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Medicare Enrollment ID | O20240522003461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366202848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Louis Gilbert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285051599 PECOS PAC ID: 3870862741 Enrollment ID: I20170708000157 |
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