# PATRICIA AILEEN CONNALLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538142930
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 43258 | CO | — |
| 207Q00000X | Family Medicine Physician | 625OA | WY | — |
| 207Q00000X | Family Medicine Physician | P5789 | TX | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 12/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120609500 | — | WY |
| 05 | — | 336109901 | — | TX |
| 05 | — | 336109903 | — | TX |
| 05 | — | 50139525 | — | CO |
| 01 | — | 8EG745 | BCBS | TX |
| 01 | — | 8EL431 | BCBS | TX |
| 01 | — | P01527360 | RAILROAD MEDICARE | TX |