Active NPI
Conroe Intensivist Group LLC
- Pulmonary Disease Physician
- Conroe, TX
National Provider Identifier
1407527807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- CONROE INTENSIVIST GROUP LLC
- Practice address
- 504 Medical Center Blvd Ste 300
Conroe, TX 77304-2808 - Phone
- (936) 703-5970
- Fax
- (936) 776-3010
- NPI assigned
- Sep 24, 2021
- Last updated
- Sep 24, 2021
- 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
- Mrs. Christina Danes
- Title
- Manger
- Phone
- (936) 499-5318
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | NU | Primary | |
| Medical Physician Assistant | 363AM0700X | NU |
Addresses
Primary practice location
504 Medical Center Blvd Ste 300
Conroe, TX 77304-2808
Mailing address
504 Medical Center Blvd Ste 300
Conroe, TX 77304-2808
Phone (936) 703-5970
National Provider Directory
National Provider DirectoryLocations
504 Medical Center Blvd
#300
Conroe, TX 77304
Phone (936) 230-5358
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Beaumont, TX
- NPI 1326449018
-
- Emergency Medicine Physician
- Conroe, TX
- NPI 1053629592
-
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1235542291
Pulmonary Disease
-
- Acute Care Nurse Practitioner
- Shenandoah, TX
- NPI 1033610969
-
- Acute Care Nurse Practitioner
- The Woodlands, TX
- NPI 1992269864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632441600000",
"number": "1407527807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD STE 300",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "936-703-5970",
"fax_number": "936-776-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD STE 300",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "936-703-5970",
"fax_number": "936-776-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONROE INTENSIVIST GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A",
"authorized_official_last_name": "DANES",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "MANGER",
"authorized_official_telephone_number": "936-499-5318",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Conroe Family Doctor PLLC
- Conroe Family Medicine, PA
- Conroe Fsed LLC
- Conroe Home Medical Equipment, Inc
- Conroe Independent School District
- Conroe MC Partners, LP
- Conroe Medical Center
- Conroe Medical Equipment
- Conroe Medihealth Associates PA (MediClinic Conroe)
- Conroe Montgomery Physicians Group, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.