Individual
MEGAN MCREE GELONECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11111 RESEARCH BLVD STE 240, AUSTIN, TX 78759-5264
(512) 324-6755
Mailing address
11111 RESEARCH BLVD STE 240, AUSTIN, TX 78759-5264
(512) 324-6755
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1700100575
PA
207W00000X
Ophthalmology Physician
Q5407
TX
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
Q5407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354669903
—
TX
01
—
443704YKZJ
MEDICARE PTAN
TX
Enumeration date
06/10/2010
Last updated
02/21/2019
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