# CROSSROADS URGENT CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Team
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366644361
- **Authorized official:** MR. JOHN REEL (CONTROLLER)
- **Authorized official phone:** (615) 864-8709

## Contact information

- **Practice address:** 2445 MEMORIAL BLVD, MURFREESBORO, TN 37129-5155
- **Practice address phone:** (615) 864-8713
- **Practice address fax:** (615) 301-6550
- **Mailing address:** 30 BURTON HILLS BLVD, SUITE 175, NASHVILLE, TN 37215-6140
- **Mailing address phone:** (615) 988-2009
- **Mailing address fax:** (615) 250-9773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 09/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1509210 | — | TN |