Provider Demographics
NPI:1881648830
Name:MCCREIGHT, WILLIAM JOSEPH III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:MCCREIGHT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3210 SESBANIA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2632
Mailing Address - Country:US
Mailing Address - Phone:512-569-5870
Mailing Address - Fax:512-899-8307
Practice Address - Street 1:4701 W GATE BLVD STE D404
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1467
Practice Address - Country:US
Practice Address - Phone:512-899-8300
Practice Address - Fax:512-899-8307
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4337207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G03216Medicare UPIN
TX8633M1Medicare PIN