Basic Information
| Provider Information | |||||||||
| NPI: | 1821044850 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOLARA HOSPITAL CONROE LP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 ROSS AVE | ||||||||
| Address2: | SUITE 5400 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752012708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4696216700 | ||||||||
| FaxNumber: | 4696216672 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 GRAND LAKE DR | ||||||||
| Address2: | |||||||||
| City: | CONROE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773042891 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9365231800 | ||||||||
| FaxNumber: | 9364418770 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2006 | ||||||||
| LastUpdateDate: | 10/02/2013 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4696216761 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | 008541 | TX | Y | Hospitals | Long Term Care Hospital |
No ID Information.