Unknown Individual – Specialist, NPI 1699771675
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Riverwood Court, Conroe, Montgomery County, Texas, 77301, United States
STE 104
CONROE, TX 773042824
Phone: (936) 953-9119
Fax: (936) 539-1183
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77304)
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