NPIMap

Organization Active NPI

Vis Procedure Center, PA

  • Specialist
  • Conroe, TX
National Provider Identifier
1114976560
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3506 Issued in TX
Legal business name
VIS PROCEDURE CENTER, PA
Practice address
100 Medical Center Blvd
Suite 118
Conroe, TX 77304-2888
Phone
(936) 539-4031
Fax
(936) 539-4537
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Brian Raynior Turley, MD
Title
President
Phone
(936) 539-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X K3506 TX Primary

Addresses

Primary practice location

100 Medical Center Blvd
Suite 118
Conroe, TX 77304-2888

Mailing address

2040 N Loop 336 W
Suite 314
Conroe, TX 77304-3500
Phone (936) 539-6497

Other identifiers 1

IdentifierTypeStateIssuer
0071NEOtherTXBLUE CROSS BLUE SHIELD TX

National Provider Directory

National Provider Directory

Locations

2040 N Loop 336 W
Ste 314
Conroe, TX 77304

Practitioners & affiliated clinicians

Practitioners 4

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1114976560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W",
            "address_2": "SUITE 314",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043500",
            "telephone_number": "936-539-6497",
            "fax_number": "936-539-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "SUITE 118",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-539-4031",
            "fax_number": "936-539-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIS PROCEDURE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RAYNIOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-539-4031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0071NE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 2, 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.