Organization
SELECT SPECIALTY HOSPITAL - CONROE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1139
Entity
Organization
Contact information
Practice address
506 MEDICAL CENTER BLVD, 2ND FLOOR, CONROE, TX 77304-2826
(936) 538-3158
(936) 538-3156
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
007947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH1043
BCBS TX
TX
Enumeration date
07/19/2005
Last updated
03/11/2008
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