Marla Rae Conger, M.D.
Individual provider Active NPI Pediatrics Physician · Highland Village, TX
NPI 1497716740 · NPPES record last updated Dec 20, 2018
Key facts
- NPI
- 1497716740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- H2054 (TX)
- Practice address
- 2200 Village Parkway
Highland Village, TX 75077-7146 - Phone
- (972) 317-6000
- Fax
- (972) 317-6011
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011001368 | TX | Order and Referring Only - Pediatric Medicine |
8224326004 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatrics, PA | Current | Accepting new patients |
Locations
2200 Village Pkwy
Highland Village, TX 75077
Phone (972) 317-6000
Interoperability endpoints
- marlaconger@mrcmdpa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H2054 | TX | Yes |
Addresses
Primary practice location
2200 Village Parkway
Highland Village, TX 75077-7146
Mailing address
2200 Village Parkway
Highland Village, TX 75077-7146
Phone (972) 317-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098531901 | Medicaid | TX |
Other providers in Highland Village, TX
- Waneta Lee Chenault
- Cherry Chandi, M.D., P.a.
- Christina Dellanebbia PHD Inc
- City of Highland Village
- Jason Clapp
- Amy Elizabeth Cox
- Kristen Crawford
- Kathryn Danae Crume
- Beth Cureton
- Cameron Curtis
All providers in Highland Village, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.