Provider Demographics
NPI:1881323855
Name:CORNERSTONE OB-GYN PLLC
Entity type:Organization
Organization Name:CORNERSTONE OB-GYN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:BOOKOUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-575-7945
Mailing Address - Street 1:3603 63RD DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5307
Mailing Address - Country:US
Mailing Address - Phone:979-575-7945
Mailing Address - Fax:
Practice Address - Street 1:3410 KNOXVILLE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-2216
Practice Address - Country:US
Practice Address - Phone:979-575-7945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty