MEDICARE: CAMIL I KREIT MD

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	207QS1201X	Sleep Medicine (Family Medicine) Physician	J5809	TX
2	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	J5809	TX
3	207Q00000X	Family Medicine Physician	J5809	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558423780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMIL I KREIT MD

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	:	281-659-9543

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	:	281-659-9543

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	11/18/2019

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Directions to “ CAMIL I KREIT MD” Practice Location

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