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Organization

CROSSROADS SURGICAL ASSOCIATES, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA R VELA-CISNEROS (OFFICE MANGER)
(361) 574-1556
Entity
Organization

Contact information

Practice address
2705 HOSPITAL DR, SUITE 400B, VICTORIA, TX 77901-5775
(361) 574-1556
(361) 574-1558
Mailing address
2705 HOSPITAL DR, SUITE 400B, VICTORIA, TX 77901-5775
(361) 574-1556
(361) 574-1558

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0059CZ
BLUE CROSS/SHIELD
05
080825501
TX
Enumeration date
06/06/2007
Last updated
05/15/2009
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