| Kornerstone | |
|
3221 W Pioneer Pkwy Pantego TX 76013-4620 | |
| (817) 276-9009 | |
| (817) 276-9084 |
| Full Name | Kornerstone |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3221 W Pioneer Pkwy, Pantego, Texas |
| Authorized Official Name and Position | Dale Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8172356408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kornerstone 3221 W Pioneer Pkwy Pantego TX 76013-4620 Ph: (817) 276-9009 | Kornerstone 3221 W Pioneer Pkwy Pantego TX 76013-4620 Ph: (817) 276-9009 |
| NPI Number | 1538393947 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538393947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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