Organization
PEDIATRIC HOSPITALIST OF CONROE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (PRESIDENT)
(713) 852-1500
Entity
Organization
Contact information
Practice address
500 MEDICAL CENTER BLVD, STE.# 300, CONROE, TX 77304-2889
(936) 539-5000
(936) 539-5027
Mailing address
500 MEDICAL CENTER BLVD, STE.# 300, CONROE, TX 77304-2889
(936) 539-5000
(936) 539-5027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198415501
—
TX
Enumeration date
10/08/2008
Last updated
05/20/2009
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