CROSSOVER HEALTH MEDICAL GROUP NPI 1972121069

NPI Information

  • NPI: 1972121069
  • Provider Name: CROSSOVER HEALTH MEDICAL GROUP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D2102192
  • Address: 4500 MERCANTILE PLAZA DR
    FORT WORTH, TX
    ZIP 76137
  • Phone: (949) 891-0328

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NPI Details

CROSSOVER HEALTH MEDICAL GROUP is a specialist in Fort Worth, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CROSSOVER HEALTH MEDICAL GROUP NPI is 1972121069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4500 MERCANTILE PLAZA DR
FORT WORTH, TX
ZIP 76137-225
Phone: (949) 891-0328

The provider's authorized official is Angie Sakioka .
The authorized official title is Hr Operations Specialist and has the following contact phone number (949) 891-0228.

The CLIA number assigned to this NPI record is 05D2102192 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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