| Siegfried Kreis | |
|
106 Star Ridge Cir Mc Gregor TX 76657 | |
| (254) 744-7114 | |
| Not Available |
| Full Name | Siegfried Kreis |
|---|---|
| Speciality | Clinic/center |
| Location | 106 Star Ridge Cir, Mc Gregor, Texas |
| Authorized Official Name and Position | Siegfried Richard Kreis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2547447114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siegfried Kreis Po Box 23148 Waco TX 76702-3148 Ph: (254) 744-7114 | Siegfried Kreis 106 Star Ridge Cir Mc Gregor TX 76657 Ph: (254) 744-7114 |
| NPI Number | 1215414636 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215414636 | NPI | - | NPPES |
| 113418101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | J2141 (Texas) | Primary |
Mcgregor Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Johnson Dr, Mc Gregor, TX 76657 Phone: 254-313-5200 Fax: 254-313-5299 |