Mcwilliams, Jeremy Kirk

Mcwilliams, Jeremy Kirk is an individual health care provider with primary practice located at 19782 Highway 105 West Suite 111, Montgomery TX 77356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcwilliams, Jeremy Kirk can be contacted via phone (936) 582-0220.

Contact Information

Primary practice address
19782 Highway 105 West Suite 111 Montgomery TX 77356
Phone: (936) 582-0220
Fax: (936) 582-0222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MO818 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0818 Texas

Profile Details

NPI number 1851325823
LBN Legal business name Mcwilliams, Jeremy Kirk
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851325823 NPPES
Texas MEDICAID 175774201

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