Southeast Texas Hyperbaric Medicine in Conroe - Specialist

Southeast Texas Hyperbaric Medicine - NPI 1992802425

Southeast Texas Hyperbaric Medicine is a Specialist in Conroe, Texas. Southeast Texas Hyperbaric Medicine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southeast Texas Hyperbaric Medicine is 1992802425. The last update date is 2020-08-22.

Southeast Texas Hyperbaric Medicine's current location address is Po Box 988, Conroe, Texas. You can contact this provider via phone number 9365397034. The mailing address for Southeast Texas Hyperbaric Medicine is Po Box 988, Conroe, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southeast Texas Hyperbaric Medicine
Address Po Box 988, Conroe, Texas
Phone Number 9365397034
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN/
Authorized Official Name Pontani A Bradley
Credentials M.D.
Telephone Number 9365397034

NPI Number Detail

NPI Number 1992802425
Provider Enumeration Date 2006-09-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 988
City Conroe
State Texas (TX)
Post Code 773050988
Phone Number 9365397034
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G5492
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1306800412 TX NPI BAPONTANI
1760446561 TX NPI RLWILLIAMS

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FAQs about Southeast Texas Hyperbaric Medicine

What is the unique provider identifier assigned to Southeast Texas Hyperbaric Medicine?

The Southeast Texas Hyperbaric Medicine has been issued the NPI (National Provider Identifier) 1992802425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Southeast Texas Hyperbaric Medicine is physically located?

The Southeast Texas Hyperbaric Medicine is physically situated at the following address: Po Box 988, Conroe, TX, 773050988.

What is Southeast Texas Hyperbaric Medicine's specialized field of practice, and what is the corresponding taxonomy classification code?

The Southeast Texas Hyperbaric Medicine's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992802425 to Southeast Texas Hyperbaric Medicine?

The Centers for Medicare & Medicaid Services assigned the 1992802425 to Southeast Texas Hyperbaric Medicine on 2006-09-19.

When was the Southeast Texas Hyperbaric Medicine's information last updated?

The Southeast Texas Hyperbaric Medicine's information was last updated on 2020-08-22.

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