MEDICARE: CONROE FAMILY MEDICINE, PA

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	207Q00000X	Family Medicine Physician	K0541	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811991524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONROE FAMILY MEDICINE, PA

Provider Business Mailing Address
First Line	:	3205 W DAVIS ST
Second Line	:	STE B150
City	:	CONROE
State	:	TX
Zip	:	77304-2066
Country	:	US
Telephone Number	:	936-756-6661
Fax Number	:	936-756-6681

Provider Business Practice Location Address
First Line	:	3205 W DAVIS ST
Second Line	:	STE B150
City	:	CONROE
State	:	TX
Zip	:	77304-2066
Country	:	US
Telephone Number	:	936-756-6661
Fax Number	:	936-756-6681

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JACK PIENIAZEK
Credential	:	DO
Telephone Number	:	936-756-6661

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/22/2008

Similar Medicare Providers

1700340395 — KARRIE GREENAWALT LPC
Practice Location Address:

704 N THOMPSON ST STE 189
CONROE, TX
77301-2066

Practice Phone: 936-524-6650
Practice Fax: 281-419-1811

1881356582 — MR. DAVID POWELL
Practice Location Address:

704 N THOMPSON ST STE 188C
CONROE, TX
77301-2066

Practice Phone: 936-703-5029
Practice Fax:

1730989013 — THOMAS HSU
Practice Location Address:

925 CITY CENTRAL AVE
CONROE, TX
77304-2981

Practice Phone: 936-202-5202
Practice Fax:

1134109432 — MS. CATHLEEN YVONNE CHIDESTER PA-C
Practice Location Address:

2112 W DAVIS ST
CONROE, TX
77304-2049

Practice Phone: 713-960-1311
Practice Fax: 713-960-1325

1639172422 — CRAIG C KUGLEN JR. M.D.
Practice Location Address:

400 S LOOP 336 W
CONROE, TX
77304-3302

Practice Phone: 936-539-4500
Practice Fax: 936-539-1216

1669475455 — BAPTISTE JOHN DEJEAN III M.D.
Practice Location Address:

400 S LOOP 336 W
CONROE, TX
77304-3302

Practice Phone: 936-539-4500
Practice Fax: 936-539-4050

Directions to “CONROE FAMILY MEDICINE, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.