| 1488 Family Medicine Group, Pllc | |
|
2400 Fm 1488 Suite 400 Conroe TX 77384 | |
| (936) 270-8008 | |
| (936) 270-8009 |
| Full Name | 1488 Family Medicine Group, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2400 Fm 1488, Conroe, Texas |
| Authorized Official Name and Position | Gunther Groning (SOLE MEMBER - MANAGER) |
| Authorized Official Contact | 9362708008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1488 Family Medicine Group, Pllc 3440 Riley Fuzzell Rd #120 Pmb 29 Spring TX 77386-4188 Ph: (936) 270-8008 | 1488 Family Medicine Group, Pllc 2400 Fm 1488 Suite 400 Conroe TX 77384 Ph: (936) 270-8008 |
| NPI Number | 1023564325 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023564325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N6330 (Texas) | Primary |
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