CARDIAC CATH LAB OF CONROE, LP (NPI# 1194005603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194005603 |
| Entity Type | Organization |
| Organization Name | CARDIAC CATH LAB OF CONROE, LP |
| Other Organization Name | COLLEGE PARK HEART & VASCULAR CENTER |
| Practice Address |
17183 I 45 S Suite 350 Shenandoah TX 77385-3312 |
| Practice Telephone | 9363210080 |
| Practice Fax Number | 9363210081 |
| Mailing Telephone | 9363210080 |
| Mailing Fax Number | 9363210081 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | JAMES SPELLMIRE JR. (CFO) |
| Authorized Official Telephone | 7138127586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| College Park Heart & Vascular Center | Doing Business As Name - Organization |
| Street Address |
17183 I 45 S SUITE 350 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77385-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598318180 | Katherine Eileen Otis | Physician Assistant | 17183 I 45 S, Shenandoah, TX 77385-3312 | 2019-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909513 | Shenandoah Surgical Associates LLC | Clinic/Center | 119 Vision Park Blvd, Shenandoah, TX 77384-3001 | 2010-08-18 |
| 1407084601 | Choksi Moparty Ellent and Associates, Pa | Clinic/Center | 8850 Six Pines Dr Ste 270, Shenandoah, TX 77380-2690 | 2009-06-25 |
| 1578517116 | Sadler Clinic Assoc | Clinic/Center | 9201 Pinecroft Dr, Shenandoah, TX 77380-3222 | 2006-05-19 |
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| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77385 |
Please comment or provide details below to improve the information on CARDIAC CATH LAB OF CONROE, LP.
| 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.