Organization
KREIS MEDICAL SERVICES LLC
Active
Other names
Siegfried Kreis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIEGFRIED RICHARD KREIS MD (MEDICAL DIRECTOR)
(254) 744-7114
Entity
Organization
Contact information
Practice address
106 STAR RIDGE CIR, MC GREGOR, TX 76657
(254) 744-7114
Mailing address
PO BOX 23148, WACO, TX 76702-3148
(254) 744-7114
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
J2141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113418101
—
TX
Enumeration date
07/27/2018
Last updated
08/22/2018
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