Cornelius Martin (NPI# 1316977184, PAC ID# 5890770234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1316977184 |
| PAC ID by PECOS | 5890770234 |
| Professional Enrollment ID | I20040621001274 |
| Full Name | Cornelius Martin |
| Organization Legal Name | LEGACY COUNSELING CENTER INC |
| Address |
4054 Mckinney Ave Suite 102 Dallas TX 75204-2050 |
| Phone Number | 2145206308 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416931829 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 | 2145206308 | LEGACY COUNSELING CENTER INC |
| Organization Legal Name | LEGACY COUNSELING CENTER INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alma C Garcia | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Joseph D Cobb | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Gail Atwater | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Paul S Potter | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| William S Handy | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Peter Brook Wilkins | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Andrea C Gonzalez | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Dallas, TX 75204-2050 |
| Street Address |
4054 MCKINNEY AVE SUITE 102 |
| City | DALLAS |
| State | TX |
| Zip | 75204-2050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alma C Garcia | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Joseph D Cobb | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Gail Atwater | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Paul S Potter | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Joanne Spears | Clinical Social Worker | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 | |
| William S Handy | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Peter Brook Wilkins | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Andrea C Gonzalez | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Dallas, TX 75204-2050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Sessions | Anesthesiology | Metropolitan Anesthesia Consultants, LLP | 3515 Howell St, Dallas, TX 75204 |
| Angel Laamber Adams | Nurse Practitioner | 2626 Cole Ave, Suite 300, Dallas, TX 75204-1094 | |
| Amanvir K Dhanoa | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Alexandria C Seifer | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Linda M Stevenson | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Pat T Nguyen | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Gwendoline K Mbaku | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Tim William Wrenholt | Physical Therapy | Southwest Sports and Spine V, LLP | 3535 Travis St, Suite 160, Dallas, TX 75204-1428 |
| Megan E Mccormick | Physical Therapy | Southwest Sports and Spine V, LLP | 3535 Travis St, Suite 160, Dallas, TX 75204-1428 |
| Mark W Moore | Physical Therapy | Southwest Sports and Spine V, LLP | 3535 Travis St, Suite 160, Dallas, TX 75204-1428 |
| Find all physicians in zip 75204 | |||
| City | DALLAS |
| Zip Code | 75204 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | DALLAS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Cornelius Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.