Provider Demographics
NPI:1033155650
Name:CORNERSTONE EMS, INC.
Entity Type:Organization
Organization Name:CORNERSTONE EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIGLAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-880-9079
Mailing Address - Street 1:PO BOX 680184
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77268-0184
Mailing Address - Country:US
Mailing Address - Phone:281-880-9500
Mailing Address - Fax:713-669-1091
Practice Address - Street 1:20635 SLEEPY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4830
Practice Address - Country:US
Practice Address - Phone:281-880-9500
Practice Address - Fax:713-669-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800031341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB764OtherBLUE CROSS BLUE SHIELD
TXAMB454Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER