Crossroads Walk-in and Urgent Care Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CROSSROADS WALK-IN AND URGENT CARE CENTER, PLLC

Practice address

4504 N Laurent St
Victoria, TX 77901-2743

Phone

(361) 573-9999

Fax

(361) 573-9973

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Sanjeev Bhatia, MDNPI 1275513491

Title

Owner

Phone

(361) 573-9999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Sanjeev Bhatia, M.D.

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1275513491

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• John Edward Vanmetre, M.D.

  • Family Medicine Physician
  • Victoria, TX
  • NPI 1669474284

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Jack D Gray, FNP

  • Family Nurse Practitioner
  • Victoria, TX
  • NPI 1639405061
  NPD

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1740790757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012743",
            "telephone_number": "361-573-9999",
            "fax_number": "361-573-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012743",
            "telephone_number": "361-573-9999",
            "fax_number": "361-573-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS WALK-IN AND URGENT CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-573-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Nursing Service, Inc
• Crossroads Physical Therapy Center
• Crossroads Surgery Center
• Crossroads Surgical Associates, LLP
• Crossroads Virology LLC
• Crown Hospice LLC
• Crystal Winnett LLC
• Sandra Lynn Curtis
• Kathryn Marie Custer, RN, FNP-C
• CVS Pharmacy Inc

• All providers in Victoria, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.