Organization
CROSSROADS VIROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE ASHLEIGH BOEHM (CLINIC MANAGER)
(361) 571-7956
Entity
Organization
Contact information
Practice address
1403 VICTORIA STATION DR, VICTORIA, TX 77901-3092
(361) 571-7956
(361) 214-1460
Mailing address
1403 VICTORIA STATION DR, VICTORIA, TX 77901-3092
(361) 571-7956
(361) 214-1460
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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