Provider Demographics
NPI:1467607952
Name:CENTER FOR DIABETES MANAGEMENT
Entity Type:Organization
Organization Name:CENTER FOR DIABETES MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KREIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-659-9533
Mailing Address - Street 1:403 E DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4518
Mailing Address - Country:US
Mailing Address - Phone:281-659-9533
Mailing Address - Fax:281-659-9543
Practice Address - Street 1:403 E DALLAS ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4518
Practice Address - Country:US
Practice Address - Phone:281-659-9533
Practice Address - Fax:281-659-9543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty