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NPI Code Detail

MEDICARE: STEVEN J. O'CONNOR M.D.

MEDICARE:   STEVEN J. O'CONNOR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianJ5851TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220017964OTHERTXRAILROAD MEDICARE

General Provider Information

NPI Number : 1245238708
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN J. O'CONNOR M.D.
Provider Business Mailing Address
First Line : PO BOX 421849
Second Line :
City : HOUSTON
State : TX
Zip : 77242-1849
Country : US
Telephone Number : 713-559-6929
Fax Number : 713-559-6928
Provider Business Practice Location Address
First Line : 2525 WEST BELLFORT STREET
Second Line : STE 120
City : HOUSTON
State : TX
Zip : 77054-5024
Country : US
Telephone Number : 713-741-6677
Fax Number : 713-748-5860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 03/13/2018

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Directions to “ STEVEN J. O'CONNOR M.D.” Practice Location

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