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NPI Code Detail

MEDICARE: CORNERSTONE EMS, INC.

MEDICARE: CORNERSTONE EMS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance800031TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AMB764OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1033155650
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE EMS, INC.
Provider Business Mailing Address
First Line : PO BOX 680184
Second Line :
City : HOUSTON
State : TX
Zip : 77268-0184
Country : US
Telephone Number : 281-880-9500
Fax Number : 713-669-1091
Provider Business Practice Location Address
First Line : 20635 SLEEPY HOLLOW LN
Second Line :
City : SPRING
State : TX
Zip : 77388-4830
Country : US
Telephone Number : 281-880-9500
Fax Number : 713-669-1091
Authorized Official
Title or Position : OWNER
Name : JOEL TIGLAO
Credential :
Telephone Number : 281-880-9079
Provider Enumeration Date : 06/21/2006
Last Update Date : 10/15/2007

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Directions to “CORNERSTONE EMS, INC. ” Practice Location

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