NPI | 1255603866 |
---|---|
Doing Business As | NICHOLAS B. CREEL, M.D., P.A. |
Entity Type | Organization |
Authorized Contact | KATHRYN ANN CREEL Office Manager 979-297-1241 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX E1833) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2012-01-30 |