Healthcare Provider Details

I. General information

NPI: 1699798595
Provider Name (Legal Business Name): DAVID EDWARD O'CONNOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 PARK BEND DR STE 300
AUSTIN TX
78758-5674
US

IV. Provider business mailing address

500 E WHITESTONE BLVD
CEDAR PARK TX
78613-9006
US

V. Phone/Fax

Practice location:
  • Phone: 512-382-1933
  • Fax:
Mailing address:
  • Phone: 512-998-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberK8389
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberK8389
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: