Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | K9046 | TX |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS14610 | FL |
NPI | 1275513269 |
---|---|
Provider Name | Troy Louis Creamean |
First Address | Corpus Christi, TX 78411-1821 |
Second Address | Corpus Christi, TX 78411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 18/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G14036 | (02) |