Connell, Stuart Mellett

Connell, Stuart Mellett is an individual health care provider with primary practice located at 1501 E Mockingbird Ln Suite 101, Victoria TX 77904-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Connell, Stuart Mellett can be contacted via phone (361) 576-2003.

Contact Information

Primary practice address
1501 E Mockingbird Ln Suite 101 Victoria TX 77904-2155
Phone: (361) 576-2003
Fax: (361) 576-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X P5351 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.127735 Illinois

Profile Details

NPI number 1669646303
LBN Legal business name Connell, Stuart Mellett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Jan 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669646303 NPPES
Texas MEDICAID 342532403
Texas Other 8FD830

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