MEDICARE: CROSSPOINTE MEDICAL CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1578563482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSPOINTE MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	3600 S GESSNER
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77063
Country	:	US
Telephone Number	:	281-272-6644
Fax Number	:	281-888-8046

Provider Business Practice Location Address
First Line	:	3600 S GESSNER
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77063
Country	:	US
Telephone Number	:	281-272-6644
Fax Number	:	281-888-8046

Authorized Official
Title or Position	:	BUSINESS DEVELOPMENT
Name	:	MR. TIM CHAMBERS
Credential	:
Telephone Number	:	713-376-3609

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/20/2024

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