Provider Demographics
NPI:1033610175
Name:KATHI MCCREE MD PLLC
Entity Type:Organization
Organization Name:KATHI MCCREE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCREE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-744-4425
Mailing Address - Street 1:902 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-4552
Mailing Address - Country:US
Mailing Address - Phone:281-724-0190
Mailing Address - Fax:281-724-1740
Practice Address - Street 1:250 BLOSSOM ST STE 100
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4243
Practice Address - Country:US
Practice Address - Phone:281-724-0190
Practice Address - Fax:281-724-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TXG8401261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty