CONROE VASCULAR AND INTERVENTIONAL LLP NPI 1093211591

NPI Information

  • NPI: 1093211591
  • Provider Name: CONROE VASCULAR AND INTERVENTIONAL LLP
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • CLIA Number: 45D1081765
  • Address: 100 MEDICAL CENTER BLVD STE 118
    CONROE, TX
    ZIP 77304
  • Phone: (936) 539-4031

Map and Directions

Get Directions

NPI Details

CONROE VASCULAR AND INTERVENTIONAL LLP is a vascular and interventional radiology radiology in Conroe, TX. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. CONROE VASCULAR AND INTERVENTIONAL LLP NPI is 1093211591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 MEDICAL CENTER BLVD STE 118
CONROE, TX
ZIP 77304-821
Phone: (936) 539-4031
Fax: (936) 539-4537

The provider's authorized official is Mobolaji Odelowo .
The authorized official title is Managing Partner and has the following contact phone number (936) 539-4031.

The CLIA number assigned to this NPI record is 45D1081765 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.