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Centerwell Senior Primary Care (Tx) PA

Internal Medicine in Conroe, TX. Organization (NPI-2).

NPI number1083237622
StatusActive
Last updated in NPPESOct 18, 2022

Details

NPI
1083237622
Entity type
Organization (NPI-2)
Legal business name
Centerwell Senior Primary Care (Tx) PA
Organization subpart
Yes
Enumeration date
May 18, 2020
Certification date
Oct 18, 2022
Last updated
Oct 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––
208D00000X General Practice––

Other names

  • Partners In Primary Care Ks, PA (Former Legal Business Name)
  • Partners In Primary Care-Conroe (Doing Business As)
  • Partners In Primary Care Tx, PA (Former Legal Business Name)
  • Centerwell Senior Primary Care-Conroe (Doing Business As)

Practice location

381 S Loop 336 W Ste 900
Conroe, TX 77304-3351

Phone 936-703-1827 · Fax 833-749-0332

Mailing address

4700 Millenia Blvd Ste 650
Orlando, FL 32839-6013

Phone 407-447-7120 · Fax 407-770-0661

Authorized official

Angie Martinez
Senior Credentialing Professional
4074477120

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