Crossroads Virology LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

CROSSROADS VIROLOGY LLC

Practice address

1403 Victoria Station Dr
Victoria, TX 77901-3092

Phone

(361) 571-7956

Fax

(361) 214-1460

NPI assigned

Jul 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paige Ashleigh Boehm

Title

Clinic Manager

Phone

(361) 571-7956

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsey Dawn Taylor

  • Family Nurse Practitioner
  • Ganado, TX
  • NPI 1457019929

  Family, TX

  Medicare reassignment NPD
• Thomas Adam Kaspar, M.D.

  • Infectious Disease Physician
  • Houston, TX
  • NPI 1205810629

  TX

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1114755642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 VICTORIA STATION DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013092",
            "telephone_number": "361-571-7956",
            "fax_number": "361-214-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 VICTORIA STATION DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013092",
            "telephone_number": "361-571-7956",
            "fax_number": "361-214-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS VIROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "ASHLEIGH",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "361-571-7956"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Neurosurgical Associates, P.a.
• Crossroads Nursing Service, Inc
• Crossroads Physical Therapy Center
• Crossroads Surgery Center
• Crossroads Surgical Associates, LLP
• Crossroads Walk-in and Urgent Care Center, PLLC
• Crown Hospice LLC
• Crystal Winnett LLC
• Sandra Lynn Curtis
• Kathryn Marie Custer, RN, FNP-C

• Infectious Disease Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.