Individual
DR. CONNIE CARMEN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2014010091
MO
2085R0202X
Diagnostic Radiology Physician
Primary
Q1289
TX
Other
Enumeration date
06/11/2009
Last updated
10/29/2020
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