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Individual

JANIS R CORNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
515 W MAYFIELD RD, STE 200, ARLINGTON, TX 76014-2083
(817) 468-4689
(817) 465-7872
Mailing address
515 W MAYFIELD RD, STE 200, ARLINGTON, TX 76014-2083
(817) 468-4689
(817) 465-7872

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G9725
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099782702
TX
Enumeration date
10/06/2005
Last updated
02/20/2019
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