Provider Demographics
NPI:1023106903
Name:CREGLER, MILDRED ANN
Entity type:Individual
Prefix:MS
First Name:MILDRED
Middle Name:ANN
Last Name:CREGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6639 US HIGHWAY 271 S
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75645-7604
Mailing Address - Country:US
Mailing Address - Phone:903-734-3202
Mailing Address - Fax:903-734-6621
Practice Address - Street 1:6639 US HIGHWAY 271 S
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75645-7604
Practice Address - Country:US
Practice Address - Phone:903-734-3202
Practice Address - Fax:903-734-6621
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health