Individual
MAXIM DANILEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 MEDICAL CENTER BLVD STE 360, CONROE, TX 77304-2953
(936) 756-2229
(844) 274-2115
Mailing address
508 MEDICAL CENTER BLVD STE 360, CONROE, TX 77304-2953
(936) 756-2229
(844) 274-2115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A168900
CA
207X00000X
Orthopaedic Surgery Physician
T1929
TX
207XX0801X
Orthopaedic Trauma Physician
Primary
T1929
TX
Other
Enumeration date
07/02/2015
Last updated
05/04/2023
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