Provider Demographics
NPI:1558331058
Name:CORNETT, ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:CORNETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11410 LOUETTA RD
Mailing Address - Street 2:STE H
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1359
Mailing Address - Country:US
Mailing Address - Phone:281-370-0075
Mailing Address - Fax:271-370-0626
Practice Address - Street 1:11410 LOUETTA RD
Practice Address - Street 2:STE H
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1359
Practice Address - Country:US
Practice Address - Phone:281-370-0075
Practice Address - Fax:271-370-0626
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU05750Medicare UPIN
TX614224Medicare PIN