Conroe Urgent Care Clinic

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

H4196 Issued in TX

Legal business name

CONROE URGENT CARE CLINIC

Practice address

2129 W Davis St
Ste D
Conroe, TX 77304-2050

Phone

(936) 494-1110

Fax

(936) 494-1115

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. C. Alan Burke, M.D.

Title

Owner

Phone

(936) 494-1110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1568469559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 W .DAVIS ST",
            "address_2": "SUITE D",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042050",
            "telephone_number": "936-494-1110",
            "fax_number": "936-494-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 W DAVIS ST",
            "address_2": "STE D",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042050",
            "telephone_number": "936-494-1110",
            "fax_number": "936-494-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-494-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H4196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conroe Montgomery Physicians Group, PLLC
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• Conroe Premier Sleep Center, LP (Conroe Premier Sleep Center)
• Conroe Surgery Center 2, LLC
• Conroe TX Endoscopy ASC LLC (River Oaks Endoscopy Center)
• Conroe Vascular and Interventional LLP
• Conroe Vision Associates (Eyeland)
• Conroe Vision Associates PA
• Conroe Willis Family Medicine, PLLC
• Conroe WM LLC (Worthington Manor)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.