Organization
CONROE WILLIS FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEREMY LANINGHAM MD (OWNER)
(936) 890-8000
Entity
Organization
Contact information
Practice address
804 W MONTGOMERY ST, WILLIS, TX 77378-8830
(936) 890-8000
(936) 890-9000
Mailing address
4015 I 45 N STE 220, CONROE, TX 77304-5076
(936) 441-1122
(936) 494-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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