Provider Demographics
NPI:1245230812
Name:MRC CORNERSTONE
Entity Type:Organization
Organization Name:MRC CORNERSTONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-363-2600
Mailing Address - Street 1:4100 MOORES LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-5102
Mailing Address - Country:US
Mailing Address - Phone:903-832-5515
Mailing Address - Fax:903-832-5553
Practice Address - Street 1:4100 MOORES LN
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-5102
Practice Address - Country:US
Practice Address - Phone:903-832-5515
Practice Address - Fax:903-832-5553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MRC CORNERSTONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-26
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009660251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health