Provider Demographics
NPI:1518002666
Name:THE CORNERSTONE CENTER, PLLC
Entity Type:Organization
Organization Name:THE CORNERSTONE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:VENABLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:903-892-4466
Mailing Address - Street 1:1800 TEAGUE DR
Mailing Address - Street 2:SUITE 502
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-892-4466
Mailing Address - Fax:903-892-2634
Practice Address - Street 1:1800 TEAGUE DR
Practice Address - Street 2:SUITE 502
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-892-4466
Practice Address - Fax:903-892-2634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0026BHMedicare PIN