Conroe Urgent Care Clinic
Emergency Medicine in Conroe, TX. Organization (NPI-2).
NPI number1568469559
StatusActive
Last updated in NPPESOct 2, 2007
Details
- NPI
- 1568469559
- Entity type
- Organization (NPI-2)
- Legal business name
- Conroe Urgent Care Clinic
- Organization subpart
- No
- Enumeration date
- Jul 5, 2005
- Last updated
- Oct 2, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | H4196 | TX | Yes |
Practice location
2129 W Davis StSte D
Conroe, TX 77304-2050
Phone 936-494-1110 · Fax 936-494-1115
Mailing address
2129 W .Davis StSuite D
Conroe, TX 77304-2050
Phone 936-494-1110 · Fax 936-494-1115
Authorized official
C. Alan Burke
Owner
9364941110
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