CENTERS FOR DIABETES MANAGEMENT LLC. NPI 1679645246

NPI Information

NPI: 1679645246
Provider Name: CENTERS FOR DIABETES MANAGEMENT LLC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D1068964

Address:
24046 HWY 59N
KINGWOOD, TX
ZIP 77339
Phone: (281) 358-3387
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CENTERS FOR DIABETES MANAGEMENT LLC. is a health service clinic center in Kingwood, TX. CENTERS FOR DIABETES MANAGEMENT LLC. NPI is 1679645246. The provider is registered as an organization entity type.

The provider's business location address is:

24046 HWY 59N
KINGWOOD, TX
ZIP 77339-500
Phone: (281) 358-3387
Fax: (281) 312-4445

The provider's authorized official is Camil I. Kreit .
The authorized official title is Medical Director and has the following contact phone number (281) 852-9000.

The CLIA number assigned to this NPI record is 45D1068964 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 2/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			No
2	261QH0100X	Clinic/Center	Health Service	005447	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005447	OTHER	TEXAS	ADA ERP RECOGNITION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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