Conroe Family Doctor PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONROE FAMILY DOCTOR PLLC

Practice address

1020 Riverwood CT Ste 100
Conroe, TX 77304-2973

Phone

(936) 441-2012

Fax

(936) 494-4012

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Trang Doan Nguyen, MDNPI 1588752414

Title

Physician/Owner

Phone

(936) 441-2012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJEIBA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trang Doan Nguyen, MD

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1588752414
  Medicare reassignment NPD Authorized official
• Michelle Hobbs

  • Family Nurse Practitioner
  • Waco, TX
  • NPI 1992108518
  Medicare reassignment NPD
• Bethany Manard, N.P.

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1912365917
  Medicare reassignment NPD
• Anh Nguyen, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1366107187

  TX

  Medicare reassignment NPD
• Lourdes Margarita Orellana, PA-C

  • Physician Assistant
  • Conroe, TX
  • NPI 1679801203
  Medicare reassignment

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1487912929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042973",
            "telephone_number": "936-441-2012",
            "fax_number": "936-494-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042973",
            "telephone_number": "936-441-2012",
            "fax_number": "936-494-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE FAMILY DOCTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "DOAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "936-441-2012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conroe Eye Clinic, LLP
• Conroe Eye Clinic, LLP
• Conroe Eye Clinic, LLP
• Conroe Eyes
• Conroe Family Dentistry PLLC
• Conroe Family Medicine, PA
• Conroe Fsed LLC
• Conroe Home Medical Equipment, Inc
• Conroe Independent School District
• Conroe Intensivist Group LLC

• Family Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.