Provider Demographics
NPI:1003990433
Name:CORNERSTONE UROLOGY PLLC
Entity Type:Organization
Organization Name:CORNERSTONE UROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:806-788-1844
Mailing Address - Street 1:3502 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1730
Mailing Address - Country:US
Mailing Address - Phone:806-788-1844
Mailing Address - Fax:806-788-1843
Practice Address - Street 1:3502 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1730
Practice Address - Country:US
Practice Address - Phone:806-788-1844
Practice Address - Fax:806-788-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0007HQOtherBCBS