Individual
AUDRA LANORE MCCREIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
(682) 885-7499
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L7807
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
L7807
TX
Other
Enumeration date
05/31/2007
Last updated
02/26/2024
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