Connor, Charles Keith

Connor, Charles Keith is an individual health care provider with primary practice located at 3705 W 15Th St , Plano TX 75075-7753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Connor, Charles Keith can be contacted via phone (972) 867-3577.

Contact Information

Primary practice address
3705 W 15Th St Plano TX 75075-7753
Phone: (972) 867-3577
Fax: (972) 985-9433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X J9577 Texas

Profile Details

NPI number 1538102934
LBN Legal business name Connor, Charles Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 14th, 2008 - about 16 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 1538102934 NPPES
Texas Other 8R1413 BLUE CROSS OF TEXAS
Texas MEDICAID 43100901 BLUE CROSS OF TEXAS
Texas MEDICAID 43100902 BLUE CROSS OF TEXAS

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