Organization
CONROE-WOODLANDS GASTROENTEROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL KELLY MD (PRESIDENT)
(936) 760-1900
Entity
Organization
Contact information
Practice address
1020 RIVERWOOD CT STE 300, CONROE, TX 77304-2974
(936) 760-1900
(936) 441-1907
Mailing address
1020 RIVERWOOD CT STE 300, CONROE, TX 77304-2974
(936) 760-1900
(936) 441-1907
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1729485
—
TX
Enumeration date
02/27/2007
Last updated
08/29/2023
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