Individual
DR. BYRON F CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4551 WESTERN CENTER BLVD, FORT WORTH, TX 76137-2628
(817) 644-3340
Mailing address
4551 WESTERN CENTER BLVD, FORT WORTH, TX 76137-2628
(817) 644-3340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J8496
TX
207Q00000X
Family Medicine Physician
Primary
J8496
TX
2083P0901X
Public Health & General Preventive Medicine Physician
J8496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1398299
—
TX
05
—
139829943
—
TX
01
—
P00802556
RAILROAD
TX
Enumeration date
06/08/2006
Last updated
02/13/2015
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