Cornell, Thomas Joseph

Cornell, Thomas Joseph is an individual health care provider with primary practice located at 14679 Midway Rd Ste 206 , Addison TX 75001-3197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cornell, Thomas Joseph can be contacted via phone (469) 317-9900.

Contact Information

Primary practice address
14679 Midway Rd Ste 206 Addison TX 75001-3197
Phone: (469) 317-9900
Fax: (972) 216-7346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G0384 Texas

Profile Details

NPI number 1740271881
LBN Legal business name Cornell, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 5th, 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 1740271881 NPPES
Texas MEDICAID 122597103
Texas Other 88R744
Texas Other B006

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