MEDICARE: EMEL ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1184304768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMEL ENTERPRISES

Provider Business Mailing Address
First Line	:	18 N FAZIO WAY
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-2701
Country	:	US
Telephone Number	:	713-898-2324
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 S CONROE MEDICAL DR STE 110
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-5395
Country	:	US
Telephone Number	:	713-898-2324
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASON BERILGEN
Credential	:	MD
Telephone Number	:	713-898-2324

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

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Directions to “EMEL ENTERPRISES ” Practice Location

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