Individual
DR. ROSINA AVILA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 CENTER ST, STE 1N, MOBILE, AL 36604-1512
(251) 410-5437
(251) 434-3802
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28362
AL
208000000X
Pediatrics Physician
Primary
M3197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913506
—
AL
05
—
178991901
—
TX
01
—
51545921
BCBS-1504 SPRINGHILL 1600
AL
Enumeration date
10/17/2006
Last updated
08/23/2022
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