Provider Demographics
NPI:1316684996
Name:TOTAL POINT ER CONROE LLC
Entity type:Organization
Organization Name:TOTAL POINT ER CONROE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-428-7740
Mailing Address - Street 1:3840 W DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1838
Mailing Address - Country:US
Mailing Address - Phone:832-654-7859
Mailing Address - Fax:833-545-3080
Practice Address - Street 1:3840 W DAVIS ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1838
Practice Address - Country:US
Practice Address - Phone:936-286-3802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care