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Organization
GARY L GILCREASE MD, PA
Active
Organization
GARY L GILCREASE MD, PA
Active
Other names
Gilcrease Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L GILCREASE MD, PA (MD, PRESIDENT, OWNER)
(512) 268-2091
Entity
Organization
Contact information
Practice address
135 BUNTON CREEK RD STE 102, KYLE, TX 78640-5701
(512) 268-2091
(512) 268-2190
Mailing address
135 BUNTON CREEK RD STE 102, KYLE, TX 78640-5701
(512) 268-2091
(512) 268-2190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144784901
—
TX
01
—
K9069
MEDICAL LICENSE
TX
Enumeration date
08/10/2007
Last updated
02/23/2022
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