Nicholas B. Creel, M.D., P.A.

LBN: Nicholas B. Creel, M.D., P.A.
Nicholas B. Creel, M.D., P.A. is an health care organization with primary practice located at 215 Oak Dr S Ste A , Lake Jackson TX 77566-5617. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Nicholas B. Creel, M.D., P.A. can be contacted via phone (979) 297-1241, or through Creel, Kathryn Ann via phone (979) 297-1241.

Contact Information

Primary practice address
215 Oak Dr S Ste A Lake Jackson TX 77566-5617
Phone: (979) 297-1241
Fax: (979) 297-5692
Website:
Map and Directions
Authorized official contact:
Name: Creel, Kathryn Ann
Phone: (979) 297-1241

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X E1833 Texas

Profile Details

NPI number 1255603866
LBN Legal business name Nicholas B. Creel, M.D., P.A.
DBA Doing business as Nicholas B. Creel, M.D., P.A.
Authorized official Creel, Kathryn Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2012
Last updated Jan 30th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255603866 NPPES
Texas Other 00R280 MEDICARE ID-TYPE UNSPECIFIED
Texas MEDICAID 035580201 MEDICARE ID-TYPE UNSPECIFIED

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