Individual
CHRISTOPHER M. MCGONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE B300, DALLAS, TX 75230-2571
(972) 284-7770
(972) 284-7780
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M3320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285812802
—
TX
05
—
285812803
—
TX
Enumeration date
05/17/2006
Last updated
03/11/2020
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