Organization Active NPI

Freedom ER Physicians PLLC

  • Emergency Medicine Physician
  • Groves, TX
National Provider Identifier
1275854663
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FREEDOM ER PHYSICIANS PLLC
Practice address
5500 39TH St
Groves, TX 77619-2905
Phone
(409) 719-7413
Fax
(409) 724-0473
NPI assigned
Jun 20, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Thomas Richard Konjoyan, DO
Title
Manager
Phone
(409) 719-7413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

5500 39TH St
Groves, TX 77619-2905

Mailing address

1604 Tallowood LN
Nederland, TX 77627-4655
Phone (409) 719-7413

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1275854663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 TALLOWOOD LN",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274655",
            "telephone_number": "409-719-7413",
            "fax_number": "409-724-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776192905",
            "telephone_number": "409-719-7413",
            "fax_number": "409-724-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ER PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "KONJOYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-719-7413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groves, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.