Conroe-Woodlands Gastroenterology, P.A.

LBN: Conroe-Woodlands Gastroenterology, P.A.
Conroe-Woodlands Gastroenterology, P.A. is an health care organization with primary practice located at 1020 Riverwood Ct Ste 300 , Conroe TX 77304-2974. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Conroe-Woodlands Gastroenterology, P.A. can be contacted via phone (936) 760-1900, or through Kelly, Stephen Michael via phone (936) 760-1900.

Contact Information

Primary practice address
1020 Riverwood Ct Ste 300 Conroe TX 77304-2974
Fax: (936) 441-1907
Website:
Authorized official contact:
Name: Kelly, Stephen Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1962539155
LBN Legal business name Conroe-Woodlands Gastroenterology, P.A.
DBA Doing business as
Authorized official Kelly, Stephen Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 29th, 2023 - about last year

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 1962539155 NPPES
Texas MEDICAID 1729485

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