Jack D Connally M.D.

NPI 1023002755 - Radiology - 2085R0202X

NPI Details
NPI 1023002755
Gender Male
Enumeration Date 09/08/2005
Last Updated 01/12/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
10500 STEPPINGTON DR
SUITE 100A
DALLAS TX, 75230-4561, US
Phone (214) 987-4601
Fax (214) 987-4039
Business Location
10500 STEPPINGTON DR
DALLAS TX, 75230-4560, US
Phone (214) 987-4601
Fax (214) 987-4039
Toxanomy
Taxonomy Code 2085R0202X
License State Texas
License Number E0425
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According to our database, Dr. Jack D Connally M.D. NPI is 1023002755, taxonomy code is 2085R0202X and license number is E0425, license state is located at Texas. Jack D Connally M.D. physically located at 10500 Steppington Dr, Dallas TX, 75230-4561. NPI Number Jack D Connally M.D. has the Individual type.

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1023002755 NPI number is provided on an as is basis without warranty of any kind. 1023002755 is maintained by the National Plan & Provider Enumeration System. The contents of Jack D Connally M.D. are for informational purposes only.