Healthcare Provider Details

I. General information

NPI: 1033610175
Provider Name (Legal Business Name): KATHI MCCREE MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BLOSSOM ST STE 100
WEBSTER TX
77598-4243
US

IV. Provider business mailing address

902 ROSEWOOD DR
DICKINSON TX
77539-4552
US

V. Phone/Fax

Practice location:
  • Phone: 281-724-0190
  • Fax: 281-724-1740
Mailing address:
  • Phone: 281-724-0190
  • Fax: 281-724-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberG8401
License Number StateTX

VIII. Authorized Official

Name: DR. KATHI S. MCCREE
Title or Position: PRESIDENT
Credential: MD
Phone: 281-744-4425