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Individual

MICHAEL Z. GILCREASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
J5093
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118294101
TX
01
220026058
RR MEDICARE
TX
01
84678X
BCBS
TX
Enumeration date
10/16/2006
Last updated
05/26/2011
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