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
1	341600000X	Ambulance	800031	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMB764	OTHER	TX	BLUE 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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