| Gary L Gilcrease Md, Pa | |
|
135 Bunton Creek Rd Ste 102 Kyle TX 78640-5701 | |
| (512) 268-2091 | |
| (512) 268-2190 |
| Full Name | Gary L Gilcrease Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 135 Bunton Creek Rd Ste 102, Kyle, Texas |
| Authorized Official Name and Position | Gary L Gilcrease (MD, PRESIDENT, OWNER) |
| Authorized Official Contact | 5122682091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Gilcrease Md, Pa 135 Bunton Creek Rd Ste 102 Kyle TX 78640-5701 Ph: (512) 268-2091 | Gary L Gilcrease Md, Pa 135 Bunton Creek Rd Ste 102 Kyle TX 78640-5701 Ph: (512) 268-2091 |
| NPI Number | 1568654887 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568654887 | NPI | - | NPPES |
| 144784901 | Medicaid | TX | |
| K9069 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K9069 (Texas) | Primary |
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