June Knowlton LLC
Pain Medicine, Interventional Pain Medicine in Conroe, TX. Organization (NPI-2).
NPI number1467062034
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1467062034
- Entity type
- Organization (NPI-2)
- Legal business name
- June Knowlton LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2020
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 207L00000X | Anesthesiology | – | – |
Practice location
1006 Windsor Lakes Blvd Ste 150Conroe, TX 77384-4975
Phone 281-292-7246
Mailing address
19506 Lace Cactus DrCypress, TX 77433-7758
Phone 281-785-7208
Authorized official
Thomas S White
Owner
2817857208
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