Organization Active NPI

Saulette Queen, MD, PLLC

  • Cardiovascular Disease Physician
  • Conroe, TX
National Provider Identifier
1184046070
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M6361 Issued in TX
Legal business name
SAULETTE QUEEN, MD, PLLC
Practice address
100 Medical Center Blvd
Ste. 200
Conroe, TX 77304-2888
Phone
(713) 376-0814
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Dr. Saulette Raquel Queen, M.D.
Title
Cardiologist
Phone
(713) 376-0814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X M6361 TX Primary

Addresses

Primary practice location

100 Medical Center Blvd
Ste. 200
Conroe, TX 77304-2888

Mailing address

100 Medical Center Blvd
Ste. 200
Conroe, TX 77304-2888
Phone (713) 376-0814

National Provider Directory

National Provider Directory

Locations

100 Medical Center Blvd
Ste 200B
Conroe, TX 77304
Phone (936) 441-8600

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1184046070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "STE. 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "713-376-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "STE. 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "713-376-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULETTE QUEEN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "SAULETTE",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "713-376-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 1, 2014; 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.