Kreis Medical Services LLC
Organization Active NPI Clinic/Center · MC Gregor, TX
NPI 1215414636 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1215414636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- J2141 (TX)
- Legal business name
- KREIS MEDICAL SERVICES LLC
- Practice address
- 106 Star Ridge Cir
MC Gregor, TX 76657 - Phone
- (254) 744-7114
- NPI assigned
- Jul 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Siegfried Richard Kreis, MD
- Title
- Medical Director
- Phone
- (254) 744-7114
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | J2141 | TX | Yes |
Addresses
Primary practice location
106 Star Ridge Cir
MC Gregor, TX 76657
Mailing address
PO Box 23148
Waco, TX 76702-3148
Phone (254) 744-7114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113418101 | Medicaid | TX |
Other names
- Siegfried Kreis
Other providers in MC Gregor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.