Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | E 7036 | TX |
NPI | 1669472825 |
---|---|
Provider Name | Maurice Samuel Conte |
First Address | Houston, TX 77006-5817 |
Second Address | The Woodlands, TX 77384-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 08/07/2007 |