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Individual

CRAIG A. KOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
K5591
TN
207RH0003X
Hematology & Oncology Physician
Primary
K5591
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165270301
TX
01
165270304
MEDICAID-CSHCN
TX
01
8M5593
BCBS
TX
Enumeration date
12/07/2006
Last updated
07/22/2021
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