Organization Active NPI

Crossroads OBGYN and Wellness PA

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1144550617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M9657 Issued in TX
Legal business name
CROSSROADS OBGYN AND WELLNESS PA
Practice address
2000 Crawford St Ste 1100
Houston, TX 77002-9009
Phone
(832) 415-0376
Fax
(281) 741-2459
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kourtney Sims
Title
Owner
Phone
(832) 415-0376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X M9657 TX Primary

Addresses

Primary practice location

2000 Crawford St Ste 1100
Houston, TX 77002-9009

Mailing address

PO Box 2689
Pearland, TX 77588-2689
Phone (832) 415-0376

National Provider Directory

National Provider Directory

Locations

2000 Crawford St
Ste 1100
Houston, TX 77002
Phone (713) 759-0852

6243 Fairmont Pkwy
Ste 205
Pasadena, TX 77505
Phone (281) 991-7603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3931/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144550617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2689",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775882689",
            "telephone_number": "832-415-0376",
            "fax_number": "281-741-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST STE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029009",
            "telephone_number": "832-415-0376",
            "fax_number": "281-741-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS OBGYN AND WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-415-0376"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M9657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.