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NICHOLAS B. CREEL M.D. P.A. NPI 1255603866


NPI Information

NPI: 1255603866
Provider Name: NICHOLAS B. CREEL, M.D., P.A.

Doing Business As: NICHOLAS B. CREEL, M.D., P.A.

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 45D0497063

Address:
215 OAK DR S STE A
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 297-1241
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NICHOLAS B. CREEL, M.D., P.A. is a preferred provider organization in Lake Jackson, TX. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NICHOLAS B. CREEL, M.D., P.A. NPI is 1255603866. The provider is registered as an organization entity type.
The provider Is Doing Business As Nicholas B. Creel, M.d., P.a..

The provider's business location address is:

215 OAK DR S STE A
LAKE JACKSON, TX
ZIP 77566-617
Phone: (979) 297-1241
Fax: (979) 297-5692

The provider's authorized official is Kathryn Ann Creel .
The authorized official title is Office Manager and has the following contact phone number (979) 297-1241.

The CLIA number assigned to this NPI record is 45D0497063 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationE1833TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1035580201MEDICAIDTEXAS
200R280OTHERTEXASMEDICARE ID-TYPE UNSPECIFIED
3B22018MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.