Organization
SOUTHERN TEXAS PHYSICIANS NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP)
(936) 539-5000
Entity
Organization
Contact information
Practice address
500 MEDICAL CENTER BLVD, SUITE 300, CONROE, TX 77304-2889
(936) 539-5000
Mailing address
500 MEDICAL CENTER BLVD, SUITE 300, CONROE, TX 77304-2889
(936) 539-5000
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045MD
BCBS OF TX (AUSTIN)
TX
05
—
173840302
—
TX
Enumeration date
06/17/2006
Last updated
06/04/2008
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