GARY L GILCREASE MD PA NPI 1568654887

NPI Information

  • NPI: 1568654887
  • Provider Name: GARY L GILCREASE MD, PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: GILCREASE MEDICAL GROUP
  • CLIA Number: 45D1097586
  • Address: 135 BUNTON CREEK RD STE 102
    KYLE, TX
    ZIP 78640
  • Phone: (512) 268-2091

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NPI Details

GARY L GILCREASE MD, PA is a family medicine in Kyle, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GARY L GILCREASE MD, PA NPI is 1568654887. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gilcrease Medical Group.

The provider's business location address is:

135 BUNTON CREEK RD STE 102
KYLE, TX
ZIP 78640-701
Phone: (512) 268-2091
Fax: (512) 268-2190

The provider's authorized official is Gary L Gilcrease .
The authorized official title is Md, President, Owner and has the following contact phone number (512) 268-2091.

The CLIA number assigned to this NPI record is 45D1097586 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 2/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineK9069TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144784901MEDICAIDTEXAS
2K9069OTHERTEXASMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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