Provider Demographics
NPI:1578563482
Name:CROSSPOINTE MEDICAL CLINIC
Entity type:Organization
Organization Name:CROSSPOINTE MEDICAL CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-376-3609
Mailing Address - Street 1:3600 S GESSNER
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:281-272-6644
Mailing Address - Fax:281-888-8046
Practice Address - Street 1:3600 S GESSNER
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063
Practice Address - Country:US
Practice Address - Phone:281-272-6644
Practice Address - Fax:281-888-8046
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOUNDER PROJECT RX, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-21
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32592OtherTEXAS STATE BOARD OF PHARMACY
TX4574718OtherNCPDP