Unknown Individual – Psychiatry Physician, NPI 1720029119
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2854, Blake Road, Conroe, Montgomery County, Texas, 77304, United States
CONROE, TX 773042206
Phone: (936) 521-6100
Fax: (936) 760-2898
Type: Location
99, West Racing Cloud Court, The Cove, Wild Ridge, Panther Creek, Montgomery County, Texas, 77381, United States
THE WOODLANDS, TX 773815220
Phone: (281) 384-4941
Type: Mailing
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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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