| Carl John Kornman, MD | |
|
1507 W Main St, Gatesville, TX 76528-1024 | |
| (254) 865-8251 | |
| (254) 248-6306 |
| Full Name | Carl John Kornman |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1507 W Main St, Gatesville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821613522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | T4653 (Texas) | Secondary |
| 207Q00000X | Family Medicine | BP10070629 (Texas) | Secondary |
| 208M00000X | Hospitalist | T4653 (Texas) | Primary |
| Entity Name | Coryell County Memorial Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992832521 PECOS PAC ID: 7719886282 Enrollment ID: O20040202000105 |
| Entity Name | Hillcrest Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649294323 PECOS PAC ID: 1153304456 Enrollment ID: O20040609000104 |
| Entity Name | Sound Physicians Emergency Medicine Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl John Kornman, MD 1507 W Main St, Gatesville, TX 76528-1024 Ph: (254) 865-8251 | Carl John Kornman, MD 1507 W Main St, Gatesville, TX 76528-1024 Ph: (254) 865-8251 |
Jeffrey Bates, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-8251 Fax: 254-248-6306 | |
Mrs. Nancy Jill Clay, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1507 West Main Street, Gatesville, TX 76528 Phone: 254-865-8251 Fax: 254-248-6306 |