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Individual

ROBERT H CONNAUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1105 CENTRAL EXPY N STE 350, ALLEN, TX 75013-6104
(692) 848-9904
(469) 382-9362
Mailing address
800 8TH AVE STE 306, FORT WORTH, TX 76104-2602
(682) 224-3748
(682) 841-0039

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K8092
TX
2086S0129X
Vascular Surgery Physician
K8092
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046848001
TX
01
1326061003
NPI
TX
01
87900X
BLUE CROSS OF TEXAS
TX
Enumeration date
07/25/2006
Last updated
08/08/2023
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