MEDICARE: CAMIL I KREIT MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1134348659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMIL I KREIT MD PA

Provider Business Mailing Address
First Line	:	PO BOX 865
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77328-0865
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 E DALLAS ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4518
Country	:	US
Telephone Number	:	713-659-9533
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CAMIL I KREIT
Credential	:	MD
Telephone Number	:	281-659-9533

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	03/07/2016

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