NPIMap

Organization Active NPI

Conroe Clinic Corporation

  • Urgent Care Clinic/Center
  • Conroe, TX
National Provider Identifier
1043491699
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CONROE CLINIC CORPORATION
Practice address
3401 W Davis St
Conroe, TX 77304-1860
Phone
(936) 441-3718
Fax
(936) 441-3862
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohammed Zahiruddin
Title
President
Phone
(713) 783-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3401 W Davis St
Conroe, TX 77304-1860

Mailing address

PO Box 571195
Houston, TX 77257-1195
Phone (713) 783-4707

Other identifiers 1

IdentifierTypeStateIssuer
0045KWOtherBCBS URGENT CARE

Other names 1

  • MediClinic Conroe Doing business as

National Provider Directory

National Provider Directory

Locations

3401 W Davis St
Conroe, TX 77304
Phone (409) 756-3713

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1043491699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772571195",
            "telephone_number": "713-783-4707",
            "fax_number": "713-783-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041860",
            "telephone_number": "936-441-3718",
            "fax_number": "936-441-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ZAHIRUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-783-4707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS URGENT CARE",
            "identifier": "0045KW",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediClinic Conroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.