Organization Active NPI

Cornerstone Wound LLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1124881917
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CORNERSTONE WOUND LLC
Practice address
10935 Estate LN Ste 106
Dallas, TX 75238-2906
Phone
(972) 798-8001
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Mr. Melvyn Coomber
Title
Director
Phone
(972) 798-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10935 Estate LN Ste 106
Dallas, TX 75238-2906

Mailing address

10935 Estate LN Ste 106
Dallas, TX 75238-2906
Phone (972) 798-8001

National Provider Directory

National Provider Directory

Locations

10935 Estate Ln
Ste 106
Dallas, TX 75238
Phone (972) 798-8001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1124881917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382906",
            "telephone_number": "972-798-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382906",
            "telephone_number": "972-798-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE WOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "COOMBER",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-798-8001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.