CROSS MEDICAL CLINIC PLLC
NPI 1366879314
Nurse Practitioner - Family in Canyon, TX

Active since October 06, 2013
1619 4TH AVE, CANYON, TX 79015(806) 418-5880 Get Directions Write a Review

NPPES record last updated: October 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cross Medical Clinic Pllc NPPES

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

CROSS MEDICAL CLINIC PLLC (NPI 1366879314) is a healthcare organization registered as a family in Canyon, Texas and active in the NPI registry since October 2013. The organization lists Gloria Rodriguez Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1366879314
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCROSS MEDICAL CLINIC PLLC
Location Address1619 4TH AVECanyon, TX 79015-3824
Mailing AddressPo Box 1614Canyon, TX 79015-1614 · (806) 557-4138 · Fax (806) 557-4165
Organization SubpartNo
Authorized OfficialGloria Rodriguez FullerOwner · (806) 418-5880
Enumeration DateOctober 6, 2013
Last NPPES UpdateOctober 14, 2013
NPI 1366879314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 694365
1619 4TH AVE, Canyon, TX 79015

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1619 4TH AVE
CANYON, TX 79015
Nurse Practitioner (Family)
1619 4TH AVE
CANYON, TX 79015
Nurse Practitioner (Family)
1619 4TH AVE
CANYON, TX 79015
Nurse Practitioner (Family)
1619 4TH AVE
CANYON, TX 79015
Nurse Practitioner
1619 4TH AVE
CANYON, TX 79015

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 Cross Medical Clinic PLLC's NPI number?

The NPI number for Cross Medical Clinic PLLC is 1366879314. It was assigned to this organization in the NPPES registry on October 6, 2013.

Where is Cross Medical Clinic PLLC located?

Cross Medical Clinic PLLC is located at 1619 4th Ave, Canyon, TX 79015. The listed phone number is (806) 418-5880.

What is Cross Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Cross Medical Clinic PLLC was last updated on October 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.