| Cross Over Mobility & Freedom, LLC | |
|
309 Plantation Dr Ste B Lake Jackson TX 77566-6142 | |
| (979) 401-3918 | |
| (800) 419-5153 |
| Full Name | Cross Over Mobility & Freedom, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 309 Plantation Dr Ste B, Lake Jackson, Texas |
| Authorized Official Name and Position | Edna Lucio (OWNER) |
| Authorized Official Contact | 9794013918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Over Mobility & Freedom, LLC 309 Plantation Dr Lake Jackson TX 77566-6142 Ph: (979) 401-3918 | Cross Over Mobility & Freedom, LLC 309 Plantation Dr Ste B Lake Jackson TX 77566-6142 Ph: (979) 401-3918 |
| NPI Number | 1649158924 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649158924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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