Provider Demographics
NPI:1750970299
Name:CROSS MEDICAL LLC
Entity type:Organization
Organization Name:CROSS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-632-2770
Mailing Address - Street 1:PO BOX 696100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78269-6100
Mailing Address - Country:US
Mailing Address - Phone:936-632-2770
Mailing Address - Fax:936-632-2778
Practice Address - Street 1:1731 WALL ST STE 203
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-4062
Practice Address - Country:US
Practice Address - Phone:936-632-2770
Practice Address - Fax:936-632-2778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies