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Organization
JEAN GISLER
Active
Organization
JEAN GISLER
Active
Other names
Crossroads Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN G GISLER FNP (OWNER)
(361) 575-4100
Entity
Organization
Contact information
Practice address
3002 SAM HOUSTON DR, VICTORIA, TX 77904-2682
(361) 575-4100
(361) 575-4111
Mailing address
PO BOX 3276, VICTORIA, TX 77903-3276
(361) 576-3680
(361) 576-4219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
427272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024LH
BCBS OF TX #
TX
05
—
167309702
—
TX
Enumeration date
12/15/2005
Last updated
06/13/2008
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