Organization
SOUTHEAST TEXAS HYPERBARIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A PONTANI M.D. (PHYSICIAN/OWNER)
(936) 539-7034
Entity
Organization
Contact information
Practice address
500 MEDICAL CENTER BLVD STE 110, CONROE, TX 77304-2800
(936) 539-7034
Mailing address
PO BOX 988, CONROE, TX 77305-0988
(936) 539-7034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306800412
NPI BAPONTANI
TX
01
—
1760446561
NPI RLWILLIAMS
TX
Enumeration date
09/19/2006
Last updated
08/22/2020
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