Provider Demographics
NPI:1386171486
Name:CROSSWIRES ELECTRIC
Entity type:Organization
Organization Name:CROSSWIRES ELECTRIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHON
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-495-8981
Mailing Address - Street 1:PO BOX 772165
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77215-2165
Mailing Address - Country:US
Mailing Address - Phone:1832-495-8981
Mailing Address - Fax:
Practice Address - Street 1:5825 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-2303
Practice Address - Country:US
Practice Address - Phone:832-495-8981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROSSWIRES ELECTRIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherELECTRICAL CONTRACTOR