Corneille, Michael

Corneille, Michael is an individual health care provider with primary practice located at 11212 State Highway 151 Ste 230 , San Antonio TX 78251-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Corneille, Michael can be contacted via phone (830) 643-7000.

Contact Information

Primary practice address
11212 State Highway 151 Ste 230 San Antonio TX 78251-4501
Phone: (830) 643-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 46604 Arizona
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X L6843 Texas

Profile Details

NPI number 1154438133
LBN Legal business name Corneille, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154438133 NPPES
Texas Other P02601720 MCRR
Texas MEDICAID 163414909 MCRR

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