# CONROE VASCULAR AND INTERVENTIONAL LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093211591
- **Authorized official:** MOBOLAJI ODELOWO MD (MANAGING PARTNER)
- **Authorized official phone:** (936) 539-4031

## Contact information

- **Practice address:** 100 MEDICAL CENTER BLVD STE 118, CONROE, TX 77304-2821
- **Practice address phone:** (936) 539-4031
- **Practice address fax:** (936) 539-4537
- **Mailing address:** 100 MEDICAL CENTER BLVD STE 118, CONROE, TX 77304-2821
- **Mailing address phone:** (936) 539-4031
- **Mailing address fax:** (936) 539-4537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 04/11/2018