Healthcare Provider Details

I. General information

NPI: 1598023079
Provider Name (Legal Business Name): JEFFREY N MCCREIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

IV. Provider business mailing address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

V. Phone/Fax

Practice location:
  • Phone: 512-212-4670
  • Fax:
Mailing address:
  • Phone: 512-212-4670
  • Fax: 512-233-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberQ3917
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberQ3917
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: