Individual
TERENCE PHILLIP MACCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13831 N HIGHWAY 183, AUSTIN, TX 78750-1202
(512) 250-0424
(512) 219-0192
Mailing address
300 TERRY LN, LEANDER, TX 78641-8539
(512) 259-2725
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E4494
TX
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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