Individual
DEBORAH M. O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4109 LAKEPLACE LN, AUSTIN, TX 78746-1623
(512) 422-9153
(512) 328-5676
Mailing address
4109 LAKEPLACE LN, AUSTIN, TX 78746-1623
(512) 422-9153
(512) 328-5676
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G8737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128508103
—
TX
Enumeration date
04/18/2006
Last updated
10/01/2009
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