Connor, Gregory

Connor, Gregory is an individual health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727-6431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Connor, Gregory can be contacted via phone (512) 795-5100.

Contact Information

Primary practice address
12554 Riata Vista Cir Austin TX 78727-6431
Phone: (512) 795-5100
Fax: (512) 795-5122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M0689 Texas

Profile Details

NPI number 1013911783
LBN Legal business name Connor, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 12th, 2015 - about 9 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 1013911783 NPPES
Texas MEDICAID 179176602
Texas MEDICAID 179176601
Texas Other 179176603
Texas Other P00282119
Texas Other 179176605
Texas Other P00282123

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