Provider Demographics
NPI:1437173663
Name:CROSS, WARREN D JR (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:D
Last Name:CROSS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5555 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-666-4224
Mailing Address - Fax:713-666-2203
Practice Address - Street 1:5555 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 150
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-666-4224
Practice Address - Fax:713-666-2203
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2020-08-10
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Provider Licenses
StateLicense IDTaxonomies
TXD5949207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD5949OtherMEDICAL LICENSE
TX093788001Medicaid
TX81A056Medicare PIN