Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1055618 | TX |
NPI | 1013688464 |
---|---|
Provider Name | Rachael Mccreight |
First Address | Houston, TX 77006-4925 |
Second Address | Houston, TX 77030-2230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2021 |
Last Update Date | 24/09/2021 |