Organization
CROSSROADS MEDICAL MANAGEMENT LLC
Active
Other names
Cohesive Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY KERR (VP OF OPERATIONS)
(405) 873-8268
Entity
Organization
Contact information
Practice address
2508 N HARRISON ST, SHAWNEE, OK 74804-3131
(405) 585-2030
(405) 585-0318
Mailing address
PO BOX 646022, DALLAS, TX 75264-6022
(405) 873-8291
(405) 857-3122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19091
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131940B
—
OK
Enumeration date
10/03/2013
Last updated
10/29/2025
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