Provider Demographics
NPI:1497106272
Name:THE RIO AT CONROE, LLC
Entity Type:Organization
Organization Name:THE RIO AT CONROE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:DULLNIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-504-4309
Mailing Address - Street 1:8502 HUEBNER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2465
Mailing Address - Country:US
Mailing Address - Phone:210-504-4309
Mailing Address - Fax:
Practice Address - Street 1:604 SOUTH CONROE MEDICAL DRIVE
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304
Practice Address - Country:US
Practice Address - Phone:505-369-0113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility