Individual
CORNELIUS HATHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16208 WINDHAVEN PKWY, APT 1307, LEWISVILLE, TX 75056
(254) 251-8086
Mailing address
16208 WINDHAVEN PKWY, APT 1307, LEWISVILLE, TX 75056
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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