Individual provider Active NPI

Florence Halida Cornell, DO

  • Family Medicine Physician
  • Bullard, TX
National Provider Identifier
1093418808
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V5999 Issued in TX
Practice address
435 Doctor M Roper Pkwy N
Bullard, TX 75757-5117
Phone
(903) 894-3991
Fax
(903) 894-3912
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V5999 TX Primary

Addresses

Primary practice location

435 Doctor M Roper Pkwy N
Bullard, TX 75757-5117

Mailing address

435 Doctor M Roper Pkwy N
Bullard, TX 75757-5117
Phone (903) 894-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003686 TX Order and Referring Only - Family PracticePractitioner - Family Practice 4587027925

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Turtle Creek Dr
Tyler, TX 75701-1947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1093418808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 DOCTOR M ROPER PKWY N",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575117",
            "telephone_number": "903-894-3991",
            "fax_number": "903-894-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 DOCTOR M ROPER PKWY N",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575117",
            "telephone_number": "903-894-3991",
            "fax_number": "903-894-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "FLORENCE",
        "middle_name": "HALIDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V5999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullard, TX

Sources for this page

Verify at the official NPI Registry.