Provider Demographics
NPI:1669472825
Name:CONTE, MAURICE SAMUEL (M D)
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:SAMUEL
Last Name:CONTE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:MAURICE
Other - Middle Name:SAMUEL
Other - Last Name:CONTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4309 YOAKUM BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5817
Mailing Address - Country:US
Mailing Address - Phone:713-874-6446
Mailing Address - Fax:
Practice Address - Street 1:3115 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4000
Practice Address - Country:US
Practice Address - Phone:281-444-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE 7036204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC 14711Medicare ID - Type Unspecified