Organization
CONROE SURGERY CENTER 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRAFTS (OFFICER / AUTHORIZED OFFICIAL)
(832) 729-4009
Entity
Organization
Contact information
Practice address
1501 RIVER POINTE DR, SUITE 200, CONROE, TX 77304-2656
(936) 760-3443
(936) 760-1322
Mailing address
1501 RIVER POINTE DR, SUITE 200, CONROE, TX 77304-2656
(936) 760-3443
(936) 760-1322
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007984
LICENSE
TX
01
—
45C0001018
CCN
—
Enumeration date
05/01/2006
Last updated
01/11/2025
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