Active NPI
Prime Vital
- Multi-Specialty Clinic/Center
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PRIME VITAL
- Practice address
- 2017 N Frazier St Ste G8A
Conroe, TX 77301-1248 - Phone
- (936) 703-3468
- Fax
- (936) 703-3469
- NPI assigned
- Aug 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clara Ike, FNP-C
- Title
- Owner
- Phone
- (832) 656-6790
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2017 N Frazier St Ste G8A
Conroe, TX 77301-1248
Mailing address
2257 N Loop 336 W Ste 140-246
Conroe, TX 77304-3566
Phone (832) 656-6790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2017 N Frazier St
Ste G8A
Conroe, TX 77301
2257 N Loop 336 W
Ste 140246
Conroe, TX 77304
Phone (832) 656-6790
2757 N Loop 336 W
Ste 140 246
Conroe, TX 77304
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Conroe, TX
- NPI 1699278960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1184501413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2257 N LOOP 336 W STE 140-246",
"city": "CONROE",
"state": "TX",
"postal_code": "773043566",
"telephone_number": "832-656-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 N FRAZIER ST STE G8A",
"city": "CONROE",
"state": "TX",
"postal_code": "773011248",
"telephone_number": "936-703-3468",
"fax_number": "936-703-3469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME VITAL",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "IKE",
"authorized_official_first_name": "CLARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-656-6790",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Prevail Counseling & Forensic Mental Health Consulting, P.C.
- Prevail Counseling and Forensic Mental Health,
- Charles Downey Price, MD
- Pamela T Priebe, MA
- Melissa Elaine Prihoda, DO
- Jennifer Princeton
- Kenzie Pringle
- Charity Darlene Priyadarshi, FNP
- Profesional Hands Healthcare LLC
- Promedical & Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.