Healthcare Provider Details

I. General information

NPI: 1952421166
Provider Name (Legal Business Name): SCOTT O'QUINN CONOLY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 E WALNUT ST
PEARLAND TX
77581-4716
US

IV. Provider business mailing address

18333 EGRET BAY BLVD STE 140
HOUSTON TX
77058-3239
US

V. Phone/Fax

Practice location:
  • Phone: 281-485-2776
  • Fax:
Mailing address:
  • Phone: 281-332-3001
  • Fax: 281-332-3005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberM1060
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License NumberM1060
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM1060
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: