| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 315 Main St, Teague, Texas |
| Authorized Official Name and Position | Susan Sowder (COO) |
| Authorized Official Contact | 9403846238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2023 Denton TX 76202-2023 Ph: (940) 384-6238 | 315 Main St Teague TX 75860-1621 Ph: (254) 739-2561 |
| NPI Number | 1861434045 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861434045 | NPI | - | NPPES |
| 00776T | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cornerstone Family Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 E Loop 255, Teague, TX 75860 Phone: 254-739-5090 Fax: 254-739-5666 | |