Provider Demographics
NPI:1851458723
Name:KREIT, SAMIR (MD)
Entity type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:
Last Name:KREIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5539
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-5539
Mailing Address - Country:US
Mailing Address - Phone:281-432-8700
Mailing Address - Fax:713-653-1606
Practice Address - Street 1:24044 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1500
Practice Address - Country:US
Practice Address - Phone:281-432-8700
Practice Address - Fax:713-653-1606
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8022208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080567301Medicaid
TX080567301Medicaid
TX86000KMedicare ID - Type Unspecified