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General NPI Number Information
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NPI Number | 1144550617
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Entity Type | Organization
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Legal Business Name | CROSSROADS OBGYN AND WELLNESS PA
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2000 CRAWFORD ST STE 1100
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City | HOUSTON
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State | TX
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Zip | 77002-9009
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Country | US
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Telephone | 832-415-0376
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Fax | 281-741-2459
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Provider Business Mailing Address
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Address Line | PO BOX 2689
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City | PEARLAND
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State | TX
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Zip | 77588-2689
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Country | US
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Telephone | 832-415-0376
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Fax | 281-741-2459
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Authorized Official
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Title or Position | OWNER
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Name | KOURTNEY SIMS
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Credential |
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Telephone | 832-415-0376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M9657
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License Number State | TX
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