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NPI Code Detail

MEDICARE: DR. BLAIR CONNER M.D.

MEDICARE:  DR. BLAIR  CONNER  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
1207RG0100XGastroenterology PhysicianJ6384TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
281503KOTHERTXBCBSTX

General Provider Information

NPI Number : 1992764922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BLAIR CONNER M.D.
Provider Business Mailing Address
First Line : 7610 STEMMONS FWY
Second Line : SUITE 500
City : DALLAS
State : TX
Zip : 75247-4231
Country : US
Telephone Number : 214-689-5960
Fax Number : 214-630-7293
Provider Business Practice Location Address
First Line : 411 N WASHINGTON AVE
Second Line : SUITE 6000
City : DALLAS
State : TX
Zip : 75246-1713
Country : US
Telephone Number : 214-821-5266
Fax Number : 214-821-0459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 05/17/2010

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Directions to “ DR. BLAIR CONNER M.D.” Practice Location

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