| Crossroads Virology Llc | |
|
1403 Victoria Station Dr Victoria TX 77901-3092 | |
| (361) 571-7956 | |
| (361) 214-1460 |
| Full Name | Crossroads Virology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1403 Victoria Station Dr, Victoria, Texas |
| Authorized Official Name and Position | Paige Ashleigh Boehm (CLINIC MANAGER) |
| Authorized Official Contact | 3615717956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Virology Llc 1403 Victoria Station Dr Victoria TX 77901-3092 Ph: (361) 571-7956 | Crossroads Virology Llc 1403 Victoria Station Dr Victoria TX 77901-3092 Ph: (361) 571-7956 |
| NPI Number | 1114755642 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 0143757401 |
|---|---|
| Medicare Enrollment ID | O20241226003116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114755642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Chelsey Dawn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457019929 PECOS PAC ID: 6709221914 Enrollment ID: I20240228000074 |
Gulshan K, Minocha. Md.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, 406, Victoria, TX 77901 Phone: 361-572-0000 Fax: 361-574-1787 | |
Javier Vazquez Ortiz M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Hospital Dr Ste 202, Victoria, TX 77901 Phone: 361-220-7016 Fax: 361-894-6373 | |
Frederick B Niegos Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 Phone: 361-574-1870 Fax: 361-574-1871 | |
Victoria Pediatrics & Adolescents Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Victoria Physicians Solutions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Divyatish Primary Care Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E San Antonio St Ste 304w, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 |