Provider Demographics
NPI:1093841538
Name:CRESS, KIMBERLY KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:KAY
Last Name:CRESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:77 SUGAR CREEK CENTER BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2215
Mailing Address - Country:US
Mailing Address - Phone:281-240-7000
Mailing Address - Fax:281-240-7017
Practice Address - Street 1:77 SUGAR CREEK CENTER BLVD STE 330
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2215
Practice Address - Country:US
Practice Address - Phone:281-240-7000
Practice Address - Fax:281-240-7017
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK52782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX76-0622669OtherTAX ID #