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NPI Code Detail

MEDICARE: DAVID CONONIE P.A.-C

MEDICARE: DAVID CONONIE P.A.-C
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
1363A00000XPhysician AssistantPA00180TX
2363A00000XPhysician Assistant51.990223OH

General Provider Information

NPI Number : 1760409353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CONONIE P.A.-C
Provider Business Mailing Address
First Line : PO BOX 842373
Second Line :
City : DALLAS
State : TX
Zip : 75284-2373
Country : US
Telephone Number : 866-916-5259
Fax Number : 231-922-4030
Provider Business Practice Location Address
First Line : 11800 ASTORIA BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6041
Country : US
Telephone Number : 281-929-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 02/19/2008

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Directions to “ DAVID CONONIE P.A.-C” Practice Location

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