Organization Active NPI

Crossway Family Health Center PLLC

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1750708368
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
772582 Issued in TX
Legal business name
CROSSWAY FAMILY HEALTH CENTER PLLC
Practice address
6004 South Broadway
Tyler, TX 75703-4424
Phone
(903) 581-3934
NPI assigned
Mar 20, 2014
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
John Zubro, MSN
Title
Owner
Phone
(903) 581-3934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 772582 TX Primary

Addresses

Primary practice location

6004 South Broadway
Tyler, TX 75703-4424

Mailing address

6004 South Broadway
Tyler, TX 75703-4424
Phone (903) 581-3934

National Provider Directory

National Provider Directory

Locations

6004 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-3934

6004 S Broadway Ave
Ste 202
Tyler, TX 75703
Phone (855) 914-2273

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1750708368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 SOUTH BROADWAY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034424",
            "telephone_number": "903-581-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 SOUTH BROADWAY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034424",
            "telephone_number": "903-581-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWAY FAMILY HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "ZUBRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-581-3934",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "772582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.