Individual
DR. RONALD WAYNE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 E SONTERRA BLVD STE 300, SAN ANTONIO, TX 78258-4184
(210) 396-5300
(210) 804-5444
Mailing address
400 CONCORD PLAZA DR, 300, SAN ANTONIO, TX 78216-6905
(210) 396-5300
(210) 804-5444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J4057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122233306
—
TX
01
—
200042346
RAILROAD MEDICARE
TX
01
—
4123547
CIGNA
TX
01
—
5082488
AETNA
TX
01
—
8B8392
BCBS
TX
Enumeration date
06/12/2006
Last updated
07/07/2021
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