MEDICARE: CHCA CONROE LP

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1447184627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHCA CONROE LP

Provider Business Mailing Address
First Line	:	18057 HIGHWAY 105 W STE 250
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-5985
Country	:	US
Telephone Number	:	936-538-2999
Fax Number	:

Provider Business Practice Location Address
First Line	:	18057 HIGHWAY 105 W STE 250
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-5985
Country	:	US
Telephone Number	:	936-538-2999
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ANDREW MILANAK JR.
Credential	:
Telephone Number	:	843-353-9186

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “CHCA CONROE LP ” Practice Location

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