| Organization Name: | WILLIAM J. MCCREIGHT, III, M.D., PA |
| NPI Number: | 1336373323 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELODIE J. NEGRI (BUISNESS OFFICE DIRECTOR) |
| Mailing Address: | 440 Fischer Store Rd Wimberley |
| State: | TX US |
| Postal Code: | 786766158 |
| Phone Number: | 5128476179 |
| Fax Number: | 5128476188 |
| NPI Enumeration Date: | 05/06/2009 |
| NPI Last Update Date: | 05/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | J4337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |