| Conroe Family Doctor Pllc | |
|
1020 Riverwood Ct Ste 100 Conroe TX 77304-2973 | |
| (936) 441-2012 | |
| (936) 494-4012 |
| Full Name | Conroe Family Doctor Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1020 Riverwood Ct Ste 100, Conroe, Texas |
| Authorized Official Name and Position | Trang Doan Nguyen (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9364412012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conroe Family Doctor Pllc 1020 Riverwood Ct Ste 100 Conroe TX 77304-2973 Ph: (936) 441-2012 | Conroe Family Doctor Pllc 1020 Riverwood Ct Ste 100 Conroe TX 77304-2973 Ph: (936) 441-2012 |
| NPI Number | 1487912929 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 11/04/2020 |
| Medicare PECOS PAC ID | 6507022506 |
|---|---|
| Medicare Enrollment ID | O20120719000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487912929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Trang D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588752414 PECOS PAC ID: 1557274610 Enrollment ID: I20041113000081 |
| Provider Name | Bethany Melene Manard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912365917 PECOS PAC ID: 6608157755 Enrollment ID: I20170103001040 |
| Provider Name | Anusha Karim Sunasara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275212789 PECOS PAC ID: 6103274055 Enrollment ID: I20231202000650 |
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