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SSPMR PLLC NPI 1144717968


NPI Information

NPI: 1144717968
Provider Name: SSPMR, PLLC

Doing Business As: SANDSTONE FAMILY MEDICINE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1803 W WHITE OAK TER STE B
CONROE, TX
ZIP 77304
Phone: (713) 825-8670
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SSPMR, PLLC is a family nurse practitioner in Conroe, TX. SSPMR, PLLC NPI is 1144717968. The provider is registered as an organization entity type.
The provider Is Doing Business As Sandstone Family Medicine.

The provider's business location address is:

1803 W WHITE OAK TER STE B
CONROE, TX
ZIP 77304-675
Phone: (713) 825-8670
Fax: (936) 582-0410

The provider's authorized official is Tony Deramus .
The authorized official title is Management and has the following contact phone number (713) 825-8670.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 12/7/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyM4108TEXASNo
2363LF0000XNurse PractitionerFamilyYes

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: 4/28/2024

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