Healthcare Provider Details

I. General information

NPI: 1467486563
Provider Name (Legal Business Name): JAMES CHRISTOPHER CONNAUGHTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 ELIZABETH ST STE 502
CORPUS CHRISTI TX
78404-2224
US

IV. Provider business mailing address

8711 VILLAGE DR STE 114
SAN ANTONIO TX
78217-5419
US

V. Phone/Fax

Practice location:
  • Phone: 361-883-3831
  • Fax: 361-887-0146
Mailing address:
  • Phone: 210-314-7872
  • Fax: 210-314-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101231880
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberN5634
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: