Conoley, Jack Autrey
Conoley, Jack Autrey is an sole proprietor health care provider with primary practice located at 1195 Garner Field Rd Suite 300, Uvalde TX 78801-4820. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Conoley, Jack Autrey can be contacted via phone (830) 278-3086.Contact Information
Primary practice address
1195 Garner Field Rd Suite 300
Uvalde TX 78801-4820
Phone: (830) 278-3086
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | N5635 | Texas |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | N5635 | Texas |
Profile Details
NPI number | 1780802389 |
---|---|
LBN Legal business name | Conoley, Jack Autrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 22nd, 2007 |
Last updated | Nov 17th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780802389 | NPPES |
Texas | Other | N5635 | STATE LICENSE |
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