Provider Demographics
NPI:1336373323
Name:WILLIAM J. MCCREIGHT, III, M.D., PA
Entity Type:Organization
Organization Name:WILLIAM J. MCCREIGHT, III, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUISNESS OFFICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEGRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-981-9971
Mailing Address - Street 1:7324 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2012
Mailing Address - Country:US
Mailing Address - Phone:713-271-7181
Mailing Address - Fax:713-981-1457
Practice Address - Street 1:440 FISCHER STORE RD
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-6158
Practice Address - Country:US
Practice Address - Phone:512-847-6179
Practice Address - Fax:512-847-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4337101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty