Provider Demographics
NPI:1659922284
Name:CONERLY, QUADRELL M (NP)
Entity Type:Individual
Prefix:
First Name:QUADRELL
Middle Name:M
Last Name:CONERLY
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:4747 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3504
Mailing Address - Country:US
Mailing Address - Phone:713-622-1700
Mailing Address - Fax:713-877-0672
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3504
Practice Address - Country:US
Practice Address - Phone:713-622-1700
Practice Address - Fax:713-877-0672
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2021-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP145645363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner