Healthcare Provider Details

I. General information

NPI: 1134295074
Provider Name (Legal Business Name): CROSS TIMBERS HEALTH CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W REYNOSA AVE
DE LEON TX
76444-1630
US

IV. Provider business mailing address

1100 W REYNOSA AVENUE
DE LEON TX
76444
US

V. Phone/Fax

Practice location:
  • Phone: 254-893-5895
  • Fax: 888-895-1214
Mailing address:
  • Phone: 254-893-5895
  • Fax: 888-895-1214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ESTHER TAYLOR
Title or Position: CEO
Credential:
Phone: 254-893-5895