# CONROE PREMIER IMAGING CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Conroe Premier Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902108574
- **Authorized official:** TAMMY ZIPPRIAN (ADMINISTRATOR)
- **Authorized official phone:** (361) 991-1007

## Contact information

- **Practice address:** 111 VISION PARK BLVD, SUITE 130, SHENANDOAH, TX 77384-3002
- **Practice address phone:** (361) 991-1007
- **Practice address fax:** (361) 991-2031
- **Mailing address:** 111 VISION PARK BLVD, SUITE 130, SHENANDOAH, TX 77384-3002
- **Mailing address phone:** (361) 991-1007
- **Mailing address fax:** (361) 991-2031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 01/13/2011