Crossroads Telemedicine Pllc

LBN: Crossroads Telemedicine Pllc
Crossroads Telemedicine Pllc is an health care organization with primary practice located at 3790 N Bellafont Blvd Ste 1 , Fayetteville AR 72703-5481. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Crossroads Telemedicine Pllc can be contacted via phone (479) 439-0777, or through De Miranda, Thomas B via phone (479) 285-1255.

Contact Information

Primary practice address
3790 N Bellafont Blvd Ste 1 Fayetteville AR 72703-5481
Phone: (479) 439-0777
Fax: (888) 815-1613
Website:
Map and Directions
Authorized official contact:
Name: De Miranda, Thomas B Doctor of Medicine (MD)
Phone: (479) 285-1255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1285371021
LBN Legal business name Crossroads Telemedicine Pllc
DBA Doing business as
Authorized official De Miranda, Thomas B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2022
Last updated May 13th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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