Organization · NPI-2

Cornerstone Healthcare Group Holding INC

Internal Medicine · Muskogee, OK

NPI number1295357804
StatusActive
Last updated in NPPESMay 18, 2020

Details

NPI
1295357804
Entity type
Organization (NPI-2)
Legal business name
Cornerstone Healthcare Group Holding INC
Organization subpart
No
Enumeration date
May 18, 2020
Certification date
May 18, 2020
Last updated
May 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

351 S 40th St
Muskogee, OK 74401-4916

Phone 918-682-6161

Mailing address

2200 Ross Ave Ste 5400
Dallas, TX 75201-7918

Phone 469-621-6700

Authorized official

Kurt J. Schultz
Cfo
4696216700

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