MEDICARE: CORE ONPOINTE BUSINESS SOLUTIONS 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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1891313953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE ONPOINTE BUSINESS SOLUTIONS INC

Provider Business Mailing Address
First Line	:	4437 STEPPING STONE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-1869
Country	:	US
Telephone Number	:	817-682-1514
Fax Number	:	817-887-4180

Provider Business Practice Location Address
First Line	:	4437 STEPPING STONE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-1869
Country	:	US
Telephone Number	:	817-682-1514
Fax Number	:	817-887-4180

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JAMIE D BOONE
Credential	:
Telephone Number	:	817-682-1514

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	07/06/2020

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