Healthcare Provider Details

I. General information

NPI: 1285308007
Provider Name (Legal Business Name): HIGHLAND CROSSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 BERKSHIRE DR
MESQUITE TX
75150-3542
US

IV. Provider business mailing address

3005 BERKSHIRE DR
MESQUITE TX
75150-3542
US

V. Phone/Fax

Practice location:
  • Phone: 972-983-2400
  • Fax:
Mailing address:
  • Phone: 972-983-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KAMAL ALKAK
Title or Position: OWNER
Credential:
Phone: 972-983-2400