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NPI Code Detail

MEDICARE: DR. JEFFREY N MCCREIGHT MD

MEDICARE: DR. JEFFREY N MCCREIGHT MD
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
1207P00000XEmergency Medicine PhysicianQ3917TX
22083A0300XAddiction Medicine (Preventive Medicine) PhysicianQ3917TX

General Provider Information

NPI Number : 1598023079
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY N MCCREIGHT MD
Provider Business Mailing Address
First Line : 630 W 34TH ST STE 301
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1217
Country : US
Telephone Number : 512-212-4670
Fax Number :
Provider Business Practice Location Address
First Line : 630 W 34TH ST STE 301
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1217
Country : US
Telephone Number : 512-212-4670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2012
Last Update Date : 01/20/2026

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