Provider Demographics
NPI:1467598664
Name:CONROE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:CONROE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-756-2298
Mailing Address - Street 1:903 N LOOP 336 W
Mailing Address - Street 2:SUITE B
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1188
Mailing Address - Country:US
Mailing Address - Phone:936-756-2298
Mailing Address - Fax:
Practice Address - Street 1:903 N LOOP 336 W
Practice Address - Street 2:SUITE B
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1188
Practice Address - Country:US
Practice Address - Phone:936-756-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies