MEDICARE: CAMIL I. KREIT M.D. P.A.

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	207Q00000X	Family Medicine Physician

General Provider Information

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

Provider Business Mailing Address
First Line	:	403 E DALLAS ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4518
Country	:	US
Telephone Number	:	281-659-9533
Fax Number	:	281-593-0060

Provider Business Practice Location Address
First Line	:	403 E DALLAS ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4518
Country	:	US
Telephone Number	:	281-659-9533
Fax Number	:	281-593-0060

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

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/12/2007

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