Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETTE HUNTER CPCS (SR. MANAGER LICENSING & CREDENTIALI)
(971) 500-2661
Entity
Organization
Contact information
Practice address
12545 RIATA VISTA CIR, AUSTIN, TX 78727-6524
(512) 526-1776
Mailing address
12545 RIATA VISTA CIR, AUSTIN, TX 78727-6524
(512) 526-1776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
OTHER
—
Enumeration date
04/30/2025
Last updated
04/30/2025
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