Pediatric Hospitalist Of Conroe Pllc

LBN: Pediatric Hospitalist Of Conroe Pllc
Pediatric Hospitalist Of Conroe Pllc is an health care organization with primary practice located at 500 Medical Center Blvd Ste.# 300, Conroe TX 77304-2889. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Hospitalist Of Conroe Pllc can be contacted via phone (936) 539-5000, or through Evans, Todd via phone (713) 852-1500.

Contact Information

Primary practice address
500 Medical Center Blvd Ste.# 300 Conroe TX 77304-2889
Phone: (936) 539-5000
Fax: (936) 539-5027
Website:
Map and Directions
Authorized official contact:
Name: Evans, Todd
Phone: (713) 852-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1457502304
LBN Legal business name Pediatric Hospitalist Of Conroe Pllc
DBA Doing business as
Authorized official Evans, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2008
Last updated May 20th, 2009 - 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 1457502304 NPPES
Texas MEDICAID 198415501

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