1023061710 NPI number — AMY KREINS PHD

Table of content: AMY KREINS PHD (NPI 1023061710)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023061710 NPI number — AMY KREINS PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KREINS
Provider First Name:
AMY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOLNAR
Provider Other First Name:
AMY
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023061710
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/07/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8751 COLLIN MCKINNEY PKWY STE 1702
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070-0231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-812-8492
Provider Business Mailing Address Fax Number:
469-351-5874

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8751 COLLIN MCKINNEY PKWY STE 1702
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070-0231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-812-8492
Provider Business Practice Location Address Fax Number:
469-351-5874
Provider Enumeration Date:
05/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  32171 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 163919702 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: P0220892 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8B4427 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".