CONROE FAMILY DOCTOR PLLC
NPI 1487912929
Family Medicine in Conroe, TX

Active since May 02, 2012CLIA 45D2045439 · Waiver
1020 RIVERWOOD CT STE 100, CONROE, TX 77304(936) 441-2012(936) 494-4012 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2020, Feb 5, 2020 (2 updates tracked since 2020).

About Conroe Family Doctor Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONROE FAMILY DOCTOR PLLC (NPI 1487912929) is a healthcare organization registered as a family medicine in Conroe, Texas and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Trang Doan Nguyen, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1487912929
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONROE FAMILY DOCTOR PLLC
Location Address1020 RIVERWOOD CT STE 100Conroe, TX 77304-2973
Mailing Address1020 Riverwood Ct Ste 100Conroe, TX 77304-2973 · (936) 441-2012 · Fax (936) 494-4012
Fax(936) 494-4012
Organization SubpartNo
Authorized OfficialTrang Doan NguyenPhysician/owner · (936) 441-2012
Enumeration DateMay 2, 2012
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1487912929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1020 RIVERWOOD CT STE 100, Conroe, TX 77304

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conroe Family Doctor Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Conroe Family Doctor PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1912365917
1020 RIVERWOOD CT STE 100
Conroe, TX 77304
(936) 441-2012
✔ PECOSSame address
Family Practice
NPI 1588752414
1020 RIVERWOOD CT STE 100
Conroe, TX 77304
(936) 441-2012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992108518
333 LONDONDERRY DR
Waco, TX 76712
(254) 751-9777
✔ PECOS133 mi
Nurse Practitioner
NPI 1366107187
501 GREAT CIRCLE RD FL 3
Nashville, TN 37228
(615) 436-9060
✔ PECOS646 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2045439

Conroe Family Doctor, PLLC · Conroe, TX
Active · expires Aug 12, 2028
CLIA Number45D2045439
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorTrang D. Nguyen
Laboratory Phone(936) 441-2012
Laboratory LocationConroe Family Doctor, PLLC1020 Riverwood Court, Ste 100, Conroe, TX 77304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conroe Family Doctor PLLC's NPI number?

The NPI number for Conroe Family Doctor PLLC is 1487912929. It was assigned to this organization in the NPPES registry on May 2, 2012.

Where is Conroe Family Doctor PLLC located?

Conroe Family Doctor PLLC is located at 1020 Riverwood Ct Ste 100, Conroe, TX 77304. The listed phone number is (936) 441-2012.

What is Conroe Family Doctor PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Conroe Family Doctor PLLC enrolled in Medicare?

Yes. Conroe Family Doctor PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conroe Family Doctor PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Conroe Family Doctor PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Conroe Family Doctor PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2045439) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conroe Family Doctor PLLC was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.