MARY ELLEN GANN


Address: 3205 W Davis St, Suite B 150, Conroe, TX 77304-2039
Phone: 9367566661

MARY ELLEN GANN (NPI# 1336226158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336226158
Entity Type Individual
Full Name MARY ELLEN GANN
Credential PA-C
Practice Address 3205 W Davis St
Suite B 150
Conroe
TX 77304-2039
Practice Telephone 9367566661
Practice Fax Number 9367566681
Mailing Telephone 9367566661
Mailing Fax Number 9367566681
Enumeration Date 2006-11-01
Last Update Date 2008-02-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA02408 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3205 W DAVIS ST
SUITE B 150
City CONROE
State TX
Zip Code 77304-2039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811991524 Conroe Family Medicine, Pa Family Medicine 3205 W Davis St, Ste B150, Conroe, TX 77304-2066 2005-06-09
1285844431 Rebecca Guillory Maxwell Specialist 3205 W Davis St, Conroe, TX 77304-2039 2007-05-23
1538378831 Meri Laydevant Specialist 3205 W Davis St, Conroe, TX 77304-2039 2007-05-22
1891903720 Colleen Bridget Eldredge Occupational Therapy Assistant 3205 W Davis St, Conroe, TX 77304-2039 2007-05-21
1396953220 Maria Clemencia Defrancisco Occupational Therapy Assistant 3205 W Davis St, Conroe, TX 77304-2039 2007-05-21
1720290745 Linda Jones Physical Therapist 3205 W Davis St, Conroe, TX 77304-2039 2007-05-03
1477688349 Ronald Eugene Bautsch Dentist 3205 W Davis St, Suie B250, Conroe, TX 77304-2039 2007-02-22
1871634998 Conroe Independent School District Local Education Agency (LEA) 3205 W Davis St, Conroe, TX 77304-2039 2007-02-09
1962569194 Rhonda S. Patterson Occupational Therapist 3205 W Davis St, Conroe, TX 77304-2039 2007-01-03
1538216767 Denise Elaine Crabtree Physical Therapist 3205 W Davis St, Conroe, TX 77304-2039 2007-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194348649 Neuropsychiatric Hospital of Greater Houston, LLC Psychiatric Hospital 1317 South Loop Road 336 West, Conroe, TX 77304 2020-05-19
1780148676 Muve - Conroe Ambulatory Surgical Center, LLC Clinic/Center 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 2019-01-25
1922591411 Bradley Leiker II Dentist 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 2018-06-11
1598266009 Chapman Pain Consultants Anesthesiology 4015 I45 North, Suite 230-1, Conroe, TX 77304 2018-02-21
1063932366 Jonathan Garcia Specialist/Technologist 1716 Summergate Drive, Conroe, TX 77304 2017-06-27
1932634169 3083 Imaging LLC Clinic/Center 1246 N Fm 3083 West, Conroe, TX 77304 2017-04-25
1881138758 Bolt Urgent Care and Imaging Center, LLC Clinic/Center 1246 Fm 3083 West, Conroe, TX 77304 2016-12-13
1497106272 The Rio At Conroe, LLC Skilled Nursing Facility 604 South Conroe Medical Drive, Conroe, TX 77304 2016-06-23
1093165615 Melanie Kay Plaster Behavioral Analyst 2626 Silver Shadow, Conroe, TX 77304 2016-06-14
1508249798 Conroe Willis Family Medicine, Pllc Family Medicine 4015 I 45 N Ste 220, Conroe, TX 77304 2015-07-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952878472 Courtney Nicole Jersey Physician Assistant 17600 I-45 South, Conroe, TX 77384 2018-11-02
1548505001 Stephanie Michelle Oliver Physician Assistant 17002 Gleneagle Dr S, Conroe, TX 77385-4614 2012-12-10
1518267780 Asmita Momin Physician Assistant 3251 Interstate 45 North, Suite 100, Conroe, TX 77304 2010-10-21
1043236763 Eduardo Francisco Limonta Physician Assistant 690 S Loop 336 W Ste 300, Conroe, TX 77304-3320 2006-07-14
1144261595 Duyen Wolken Physician Assistant 2441 Westhoff Ct, Conroe, TX 77384-3366 2006-06-09
1023671567 David Hoang Physician Assistant 503 Medical Center Blvd Ste 100, Conroe, TX 77304-2928 2019-04-19
1265724686 Ruth Amanda Collier Physician Assistant 9297 Wahrenberger Rd, Conroe, TX 77304-2441 2011-05-03
1457671729 Teiy Bun Canlas Physician Assistant 508 Medical Center Blvd, Conroe, TX 77304-2808 2010-06-09
1134361959 Carisa K Richter Physician Assistant 605 S Conroe Medical Dr, Conroe, TX 77304-4722 2009-03-25
1528234044 Taslima A Karim Physician Assistant 503 Medical Center Blvd, Suite 100, Conroe, TX 77304-2928 2008-05-05
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Competitor

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City CONROE
Zip Code 77304

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Dataset Information

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.

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