Healthcare Provider Details

I. General information

NPI: 1457208993
Provider Name (Legal Business Name): CROSSPOINT MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W WILSHIRE BLVD STE 403-B2
OKLAHOMA CITY OK
73116-7030
US

IV. Provider business mailing address

6710 N 47TH AVE
GLENDALE AZ
85301-4121
US

V. Phone/Fax

Practice location:
  • Phone: 833-224-5538
  • Fax: 833-424-5538
Mailing address:
  • Phone: 833-224-5538
  • Fax: 833-424-5538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZAK CORONADO
Title or Position: ADMINISTRATOR
Credential:
Phone: 623-521-9113