Individual
ANTHONY J O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 N CENTRAL EXPY, SUITE 240, DALLAS, TX 75243-3755
(972) 235-8088
(972) 235-8090
Mailing address
12222 N CENTRAL EXPY, SUITE 240, DALLAS, TX 75243-3755
(972) 235-8088
(972) 235-8090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K5169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030929601
—
TX
Enumeration date
09/28/2006
Last updated
09/21/2011
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