Individual
DANIEL JAY KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL CENTER BLVD, LUFKIN, TX 75904
(936) 634-8434
Mailing address
2 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3173
(936) 634-8434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
104518
MN
207W00000X
Ophthalmology Physician
Primary
52275
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00954334
RAILROAD MEDICARE
MN
Enumeration date
05/29/2008
Last updated
12/29/2023
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