Individual
DR. JOHN KEVIN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE D110, DALLAS, TX 75230-2567
(972) 566-7031
(972) 566-2690
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M5415
TX
2085R0001X
Radiation Oncology Physician
MD 200042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187711003
—
TX
05
—
187711004
—
TX
01
—
8BR088
BCBS
TX
01
—
8P8219
BCBS
TX
Enumeration date
04/13/2006
Last updated
06/16/2021
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