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Individual

DR. TIMOTHY ADRIAN CONNOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6560 FANNIN ST STE 1632, HOUSTON, TX 77030-2734
(713) 255-4000
(713) 255-4050
Mailing address
DEPT 794, PO BOX 4346, HOUSTON, TX 77210-4346
(713) 255-4000
(713) 255-4050

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L3267
TX
207RP1001X
Pulmonary Disease Physician
Primary
L3267
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L3267
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8R1145
BLUE CROSS OF TEXAS PROV#
TX
01
P00316349
RAILROAD MEDICARE NUMBER
TX
Enumeration date
05/19/2006
Last updated
11/02/2023
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