Healthcare Provider Details

I. General information

NPI: 1942285846
Provider Name (Legal Business Name): AUNE K ALBANESE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 MEDICAL CENTER BLVD
CONROE TX
77304-2808
US

IV. Provider business mailing address

PO BOX 200993
HOUSTON TX
77216-0993
US

V. Phone/Fax

Practice location:
  • Phone: 409-539-1111
  • Fax: 409-788-8044
Mailing address:
  • Phone: 281-784-1111
  • Fax: 281-784-1555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number640472
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number640472
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: