Conroe Family Medicine, PA

NPI #1811991524 in Conroe, Texas

Provider Information

NPI Number: 1811991524
Entity Type: Organization
Organization Name: Conroe Family Medicine, PA
Primary Specialty: Family Medicine
Enumeration Date: Jun 9, 2005
Last Updated: Apr 22, 2008

Practice Location

Address: 3205 W DAVIS ST
Address 2: STE B150
City: Conroe
State: Texas
ZIP Code: 77304-2066
Phone: (936) 756-6661

Authorized Official

Name: DR. JACK PIENIAZEK, DO
Title: PHYSICIAN
Phone: (936) 756-6661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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