| Family Medicine Associates Of Conroe Pllc | |
|
508 Medical Center Blvd Suite 300 Conroe TX 77304-2808 | |
| (877) 943-2823 | |
| Not Available |
| Full Name | Family Medicine Associates Of Conroe Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 508 Medical Center Blvd, Conroe, Texas |
| Authorized Official Name and Position | Gregg Hallbauer (OWNER) |
| Authorized Official Contact | 8779432823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates Of Conroe Pllc Po Box 713 Conroe TX 77305-0713 Ph: (877) 943-2823 | Family Medicine Associates Of Conroe Pllc 508 Medical Center Blvd Suite 300 Conroe TX 77304-2808 Ph: (877) 943-2823 |
| NPI Number | 1639437189 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 05/04/2012 |
| Medicare PECOS PAC ID | 4183880784 |
|---|---|
| Medicare Enrollment ID | O20120726000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639437189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Gregg M Hallbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922007343 PECOS PAC ID: 0749355691 Enrollment ID: I20080812000743 |
| Provider Name | Justin A Grissom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063774842 PECOS PAC ID: 3870717523 Enrollment ID: I20140619000540 |
| Provider Name | Brittany E Bodkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902452337 PECOS PAC ID: 1254733504 Enrollment ID: I20210709001007 |
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