Individual
DR. ELLEN J O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W MAIN ST, LEWISVILLE, TX 75057-3629
(972) 420-1576
Mailing address
4034 RAWLINS ST APT 106, DALLAS, TX 75219-5632
(214) 252-0490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8C0848
BCBS
TX
01
—
P00399314
RAILROAD
TX
Enumeration date
06/29/2006
Last updated
10/04/2007
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