Provider Demographics
NPI:1336351774
Name:CORNERSTONE MANAGEMENT LLC
Entity Type:Organization
Organization Name:CORNERSTONE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:REXEL
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:870-572-6575
Mailing Address - Street 1:663 OAKLAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-1518
Mailing Address - Country:US
Mailing Address - Phone:870-572-6575
Mailing Address - Fax:870-572-6265
Practice Address - Street 1:663 OAKLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-1518
Practice Address - Country:US
Practice Address - Phone:870-572-6575
Practice Address - Fax:870-572-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3017261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental