105 Express Care of Conroe PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

L2349 Issued in TX

Legal business name

105 EXPRESS CARE OF CONROE PLLC

Practice address

3708 W Davis St Ste I
Conroe, TX 77304-1845

Phone

(936) 441-2021

NPI assigned

Mar 16, 2018

Last updated

Mar 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadeem Jamil, MD

Title

Owner

Phone

(832) 844-3746

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1093218950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 W DAVIS ST STE I",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041845",
            "telephone_number": "936-441-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 W DAVIS ST STE I",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041845",
            "telephone_number": "936-441-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "105 EXPRESS CARE OF CONROE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-844-3746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "L2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.