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NPI Code Detail

MEDICARE: DR. DANIEL BRIAN OCONNOR M.D.

MEDICARE: DR. DANIEL BRIAN OCONNOR 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
1207P00000XEmergency Medicine PhysicianE1912TX

General Provider Information

NPI Number : 1700990868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL BRIAN OCONNOR M.D.
Provider Business Mailing Address
First Line : 3 MOONVINE CT
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-4019
Country : US
Telephone Number : 281-292-9939
Fax Number : 281-540-7393
Provider Business Practice Location Address
First Line : 18951 N MEMORIAL DR
Second Line :
City : HUMBLE
State : TX
Zip : 77338-4217
Country : US
Telephone Number : 281-540-6453
Fax Number : 281-540-7393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/08/2007

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