Healthcare Provider Details

I. General information

NPI: 1447445507
Provider Name (Legal Business Name): CAMIL I. KREIT M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E DALLAS ST
CLEVELAND TX
77327-4518
US

IV. Provider business mailing address

403 E DALLAS ST
CLEVELAND TX
77327-4518
US

V. Phone/Fax

Practice location:
  • Phone: 281-659-9533
  • Fax: 281-593-0060
Mailing address:
  • Phone: 281-659-9533
  • Fax: 281-593-0060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAMIL I. KREIT
Title or Position: PRESIDENT
Credential:
Phone: 281-659-9533