Mcconnell, Robert G.

Mcconnell, Robert G. is an individual health care provider with primary practice located at 3560 Delaware St 209, Beaumont TX 77706-3059. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcconnell, Robert G. can be contacted via phone (409) 899-3682.

Contact Information

Primary practice address
3560 Delaware St 209 Beaumont TX 77706-3059
Phone: (409) 899-3682
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G0769 Texas

Profile Details

NPI number 1013912344
LBN Legal business name Mcconnell, Robert G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 24th, 2010 - 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 1013912344 NPPES
Texas MEDICAID 134476405

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