HEALTHY LIVING PRIMARY CARE PLLC (NPI# 1114547486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114547486 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVING PRIMARY CARE PLLC |
| Practice Address |
600 S Conroe Medical Dr Conroe TX 77304-5337 |
| Mailing Address |
600 S Conroe Medical Dr Ste 101 Conroe TX 77304-5341 |
| Practice Telephone | 2818498666 |
| Mailing Telephone | 3623454009 |
| Mailing Fax Number | 9362345444 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | TAPASYA MANDALAPU (PRESIDENT) |
| Authorized Official Telephone | 7864496644 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
600 S CONROE MEDICAL DR |
| City | CONROE |
| State | TX |
| Zip Code | 77304-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558794867 | Eidi K Millington Md Pa | Internal Medicine | 206a S Loop 336 W Ste W-347, Conroe, TX 77304-3300 | 2013-08-10 |
| 1629328026 | Jose L Ramos | Internal Medicine | 506 W Lewis St, Conroe, TX 77301-2527 | 2012-09-12 |
| 1639430283 | Healing Internal Medicine Clinic | Internal Medicine | 601 River Pointe Dr Ste 100, Suite # 100, Conroe, TX 77304-2943 | 2012-05-30 |
| 1790079267 | Donnia Lily Rebello | Internal Medicine | 690 S Loop 336 W Fl 3, Conroe, TX 77304-3319 | 2011-06-02 |
| 1932406048 | Texas Kidney Associates Md Pa | Internal Medicine | 100 Medical Center Blvd Ste 116, Conroe, TX 77304-2821 | 2011-02-25 |
| 1538333448 | Montgomery County Cardiovascular Associates Pa | Internal Medicine | 2101 S Loop 336 W, Conroe, TX 77304-3711 | 2008-04-22 |
| 1649389446 | John Edward Perry IIi | Internal Medicine | 3500 W Davis St, Suite 220, Conroe, TX 77304-1849 | 2006-08-29 |
| 1346261591 | Roham Darvishi | Internal Medicine | 3115 College Park Dr Ste 108, Conroe, TX 77384-4171 | 2006-07-22 |
| 1952338394 | Conroe Medihealth Associates Pa | Internal Medicine | 3401 W Davis St, Conroe, TX 77304-1860 | 2006-06-28 |
| 1043291388 | Perwaiz Kahn | Internal Medicine | 150 Pine Forest Dr Ste 204, Conroe, TX 77384-5303 | 2005-11-11 |
| Find all providers in CONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.