Organization
CONRAD LO INC
Active
Organization
CONRAD LO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONRAD CALVIN LO PA-C (PHYSICIAN ASSISTANT SURGICAL)
(713) 777-1886
Entity
Organization
Contact information
Practice address
7001 CORPORATE DR, SUITE 100, HOUSTON, TX 77036-5192
(713) 777-1886
Mailing address
7001 CORPORATE DR, SUITE 100, HOUSTON, TX 77036-5192
(713) 777-1886
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04350
TX
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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