Sam Houston State University
Sam Houston State University is a Neuromusculoskeletal Medicine & OMM Physician in Conroe, Texas. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 7
Practice location Address checks out
1169 Grand Central PkwyConroe, TX 77304-3185
Phone: (936) 525-3600
Fax: (936) 525-3624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | Taxonomy 204D00000X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Pediatrics Physician | Taxonomy 208000000X |
| Pediatric Hematology & Oncology Physician | Taxonomy 2080P0207X |
Record details
| NPI number | 1942850565 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sam Houston State University |
| Authorized official | Amanda Withers — Cfo And Sr Vp For Operations · (936) 294-2686 |
| NPI enumerated | September 16, 2019 |
| Last updated in NPPES | October 7, 2024 |
| Certification date | October 7, 2024 |
| Mailing address | 1169 Grand Central Pkwy, Conroe, TX 77304-3185 |
Other providers in Conroe
-
Simeon Nittala, DO
1169 Grand Central Pkwy, Conroe, TX 77304-3185 · (936) 525-3600
-
Dennis Cooper Rau Jr., DO
1169 Grand Central Pkwy, Conroe, TX 77304-3185 · (936) 525-3600