Organization
CONROE INTENSIVIST GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA DANES (MANGER)
(936) 499-5318
Entity
Organization
Contact information
Practice address
504 MEDICAL CENTER BLVD STE 300, CONROE, TX 77304-2808
(936) 703-5970
(936) 776-3010
Mailing address
504 MEDICAL CENTER BLVD STE 300, CONROE, TX 77304-2808
(936) 703-5970
(936) 776-3010
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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