Organization
CONROE MEDIHEALTH ASSOCIATES PA
Active
Other names
MediClinic Conroe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED ZAHIRUDDIN (PA ADMINISTRATOR)
(713) 783-4707
Entity
Organization
Contact information
Practice address
3401 W DAVIS ST, CONROE, TX 77304-1860
(936) 441-3718
(936) 441-3862
Mailing address
PO BOX 571195, HOUSTON, TX 77257-1195
(713) 783-4707
(713) 783-2066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F82L
BCBS
—
Enumeration date
06/28/2006
Last updated
02/14/2008
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