MEDICARE: TROY LOUIS CREAMEAN DO

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	K9046	TX
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	OS14610	FL
3	207Y00000X	Otolaryngology Physician	K9046	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	820572	OTHER	TX	MEDICARE ID

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1275513269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY LOUIS CREAMEAN DO

Provider Business Mailing Address
First Line	:	5959 S STAPLES ST
Second Line	:	STE 102
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3844
Country	:	US
Telephone Number	:	361-854-7000
Fax Number	:	361-814-2685

Provider Business Practice Location Address
First Line	:	5959 S STAPLES ST
Second Line	:	STE 102
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3844
Country	:	US
Telephone Number	:	361-854-7000
Fax Number	:	361-814-2685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	03/14/2023

5959 S STAPLES ST STE 205
CORPUS CHRISTI, TX
78413-3844

Practice Phone: 361-854-2500
Practice Fax:

5959 S STAPLES ST STE 102
CORPUS CHRISTI, TX
78413-3844