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Organization

SOUTHEAST TEXAS HYPERBARIC MEDICINE CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY A PONTANI MD (OWNER/PHYSICIAN)
(936) 539-7071
Entity
Organization

Contact information

Practice address
500 MEDICAL CENTER BLVD, STE #110, CONROE, TX 77304-2889
(936) 539-7074
(936) 539-9100
Mailing address
500 MEDICAL CENTER BLVD, STE #110, CONROE, TX 77304-2889
(936) 539-7074
(936) 539-9100

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5490
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159532401
TX
Enumeration date
08/15/2006
Last updated
05/18/2011
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