Nathan Kenyon Cornwall, PA-C Valid NPI
Individual provider · Physician Assistant · Fort Hood, TX
- NPI
- 1144404187
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 1078945
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-12-27
- Last updated
- 2021-05-10
Practice location
36000 Darnall Loop, Darnall Army Medical Center
Fort Hood, TX 76544
(254) 288-8025