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NPI Code Detail

MEDICARE: TREY KNITTEL

MEDICARE: TREY KNITTEL
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
1183500000XPharmacist46478TX

General Provider Information

NPI Number : 1689506792
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREY KNITTEL
Provider Business Mailing Address
First Line : 10411 GOLDEN HEARTH LN
Second Line :
City : CYPRESS
State : TX
Zip : 77433-2831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 HIGHWAY 36 S
Second Line :
City : BRENHAM
State : TX
Zip : 77833-9610
Country : US
Telephone Number : 979-277-1375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ TREY KNITTEL ” Practice Location

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