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General NPI Number Information
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NPI Number | 1033610175
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Entity Type | Organization
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Legal Business Name | KATHI MCCREE MD PLLC
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 250 BLOSSOM ST STE 100
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City | WEBSTER
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State | TX
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Zip | 77598-4243
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Country | US
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Telephone | 281-724-0190
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Fax | 281-724-1740
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Provider Business Mailing Address
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Address Line | 902 ROSEWOOD DR
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City | DICKINSON
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State | TX
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Zip | 77539-4552
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Country | US
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Telephone | 281-724-0190
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Fax | 281-724-1740
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHI S. MCCREE
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Credential | MD
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Telephone | 281-744-4425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G8401
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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