Active NPI
Cornerstone Family Medicine, PLLC
- Rural Health Clinic/Center
- Comanche, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- CORNERSTONE FAMILY MEDICINE, PLLC
- Practice address
- 408 N Austin St
Comanche, TX 76442-2408 - Phone
- (817) 925-0046
- NPI assigned
- Jun 9, 2017
- Last updated
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Molly Brooks Gray, DO
- Title
- Owner Physician
- Phone
- (325) 356-1135
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
408 N Austin St
Comanche, TX 76442-2408
Mailing address
408 N Austin St
Comanche, TX 76442-2408
Phone (325) 356-1135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
408 N Austin St
Comanche, TX 76442
Phone (325) 356-1135
Interoperability endpoints
- https://api.platform.athenahealth.com/25194/brand/1/csg/1/fhir/r4
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 28, 2023 | Change of Ownership | Corner Stone Family Medicine |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Corner Stone Family Medicine
- Rural Health Clinic/Center
- Comanche, TX
- NPI 1659054005
Sold to, 2023-07-28
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Comanche, TX
- NPI 1760641187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1124557319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N AUSTIN ST",
"city": "COMANCHE",
"state": "TX",
"postal_code": "764422408",
"telephone_number": "325-356-1135",
"fax_number": "325-356-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N AUSTIN ST",
"city": "COMANCHE",
"state": "TX",
"postal_code": "764422408",
"telephone_number": "817-925-0046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-09",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "MOLLY",
"authorized_official_middle_name": "BROOKS",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "325-356-1135",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Comanche, TX
- Comanche County Medical Center Dba Doctors Medical Center
- Comanche County Physicians Group
- Comanche Family Clinic LLC
- Comanche Internal Medicine, PA
- Comanche Isd
- Coryell County Memorial Hospital Authority (Avir at Comanche)
- Cynthia Newton, LCSW (HOPE Counseling of Texas)
- Garry Todd Davis, D.O.
- Lisa Marie Davis, MED, LPC
- Mercedes Davis, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.