Individual
DARLENE MCCONATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
19706 FM 521 RD, ROSHARON, TX 77583-8122
(979) 848-7723
Mailing address
19706 FM 521 RD, ROSHARON, TX 77583-8122
(979) 848-7723
(979) 849-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15186
TX
1223G0001X
General Practice Dentistry
Primary
15186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091168701
—
TX
Enumeration date
03/03/2007
Last updated
09/10/2024
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