Active NPI
Crossway Family Health Center PLLC
- Nurse Practitioner
- Tyler, TX
National Provider Identifier
1750708368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 772582
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryLocations
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.