MEDICARE: DR. KIMBERLY KAY CRESS M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	K5278	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1225465107	OTHER	TN	NPI - GROUP
2	76-0622669	OTHER	TX	TAX ID #

General Provider Information

NPI Number	:	1093841538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY KAY CRESS M.D.

Provider Business Mailing Address
First Line	:	77 SUGAR CREEK CENTER BLVD STE 330
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2215
Country	:	US
Telephone Number	:	281-240-7000
Fax Number	:	281-240-7017

Provider Business Practice Location Address
First Line	:	77 SUGAR CREEK CENTER BLVD STE 330
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2215
Country	:	US
Telephone Number	:	281-240-7000
Fax Number	:	281-240-7017

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/01/2025

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