Provider Demographics
NPI:1457518565
Name:NADIA I KREIT,MD,FAAP,PLLC
Entity Type:Organization
Organization Name:NADIA I KREIT,MD,FAAP,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:KREIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-540-0012
Mailing Address - Street 1:700 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4714
Mailing Address - Country:US
Mailing Address - Phone:281-540-0012
Mailing Address - Fax:281-570-4973
Practice Address - Street 1:700 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4714
Practice Address - Country:US
Practice Address - Phone:281-540-0012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-18
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4112208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V9160OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX127042302Medicaid
TX127042304Medicaid