Individual
DR. GREGORY CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M0689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179176601
—
TX
05
—
179176602
—
TX
01
—
179176603
CSCHN1
TX
01
—
179176605
CSCHN2
TX
01
—
P00282119
RRMCARE1
—
01
—
P00282123
RRMCARE2
—
Enumeration date
06/09/2005
Last updated
01/12/2015
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