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CROSSOVER HEALTH MEDICAL GROUP
NPI 1194586420
Specialist in Westlake, TX

Active since January 23, 2024CLIA 45D2300160 · Waiver
2 DESTINY WAY FL 1, WESTLAKE, TX 76262(817) 474-6333(817) 491-5925 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crossover Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSOVER HEALTH MEDICAL GROUP (NPI 1194586420) is a healthcare organization registered as a specialist in Westlake, Texas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Jenette Hunter, Licensing And Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1194586420
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address2 DESTINY WAY FL 1Westlake, TX 76262-8100
Mailing Address2 Destiny Way Fl 1Westlake, TX 76262-8100 · (817) 474-6333 · Fax (817) 491-5925
Phone(817) 474-6333
Fax(817) 491-5925
Organization SubpartNo
Authorized OfficialJenette HunterLicensing And Credentialing Manager · (971) 500-2661
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1194586420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
2 DESTINY WAY FL 1, Westlake, TX 76262
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2300160

Crossover Health Medical Group, Apc · Westlake, TX
Active · expires Mar 4, 2028
CLIA Number45D2300160
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorDr. Stephen Ezeji-Okoye
Laboratory Phone(817) 474-6333
Laboratory LocationCrossover Health Medical Group, ApcTwo Destiny Way, Westlake, TX 76262
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1194586420. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 2 Destiny Way Fl 1, Westlake, TX 76262. The listed phone number is (817) 474-6333.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Crossover Health Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2300160) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.