Organization
CROSSROADS NEUROSURGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALLEN NORVILL D.O. (NEUROSURGEON)
(361) 827-0200
Entity
Organization
Contact information
Practice address
2705 HOSPITAL DR, SUITE 412, VICTORIA, TX 77901-5775
(361) 827-0200
Mailing address
PO BOX 5311, VICTORIA, TX 77903-5311
(361) 827-0200
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
J 3562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830150 01
—
TX
Enumeration date
08/28/2006
Last updated
09/14/2011
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