Conroe Family Medicine, Pa

LBN: Conroe Family Medicine, Pa
Conroe Family Medicine, Pa is an health care organization with primary practice located at 3205 W Davis St Ste B150, Conroe TX 77304-2066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Conroe Family Medicine, Pa can be contacted via phone (936) 756-6661, or through Pieniazek, Jack via phone (936) 756-6661.

Contact Information

Primary practice address
3205 W Davis St Ste B150 Conroe TX 77304-2066
Phone: (936) 756-6661
Fax: (936) 756-6681
Website:
Map and Directions
Authorized official contact:
Name: Pieniazek, Jack Doctor of Osteopathy (DO)
Phone: (936) 756-6661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K0541 Texas

Profile Details

NPI number 1811991524
LBN Legal business name Conroe Family Medicine, Pa
DBA Doing business as
Authorized official Pieniazek, Jack Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Apr 22nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811991524 NPPES
Texas MEDICAID 145630301

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