Crossover Health Medical Group
Specialist in West Lake Hills, TX. Organization (NPI-2).
NPI number1154774784
StatusActive
Last updated in NPPESMay 10, 2017
Details
- NPI
- 1154774784
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossover Health Medical Group
- Organization subpart
- No
- Enumeration date
- Jul 19, 2016
- Last updated
- May 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
320 S Capital Of Texas Hwy Ste AWest Lake Hills, TX 78746-0033
Phone 949-891-0328
Mailing address
101 W Avenida Vista HermosaSuite 120
San Clemente, CA 92672-7706
Authorized official
Angie Sakioka
Clinical Operations
9498910328
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