1488 FAMILY MEDICINE GROUP, PLLC (NPI# 1023564325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023564325 |
| Entity Type | Organization |
| Organization Name | 1488 FAMILY MEDICINE GROUP, PLLC |
| Practice Address |
2400 Fm 1488 Suite 400 Conroe TX 77384 |
| Mailing Address |
3440 Riley Fuzzell Rd #120 Pmb 29 Spring TX 77386-4188 |
| Practice Telephone | 9362708008 |
| Practice Fax Number | 9362708009 |
| Mailing Telephone | 9362708008 |
| Mailing Fax Number | 9362708009 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | DR. GUNTHER GRONING (SOLE MEMBER - MANAGER) |
| Authorized Official Telephone | 9362708008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
N6330 | TX | Ambulatory Health Care Facilities |
| Street Address |
2400 FM 1488 SUITE 400 |
| City | CONROE |
| State | TX |
| Zip Code | 77384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| 1700169851 | Tsa Surgical Assisting Service LLC | Contractor | 111 Vison Park Blvd., First Surgical Woodlands Texas, Conroe, TX 77384 | 2011-09-26 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.