DR. JACK D CONNALLY M.D. NPI 1023002755

NPI Information

NPI: 1023002755
Provider Name: DR. JACK D CONNALLY, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
10500 STEPPINGTON DR
SUITE 100A
DALLAS, TX
ZIP 75230
Phone: (214) 987-4601
Get Directions

DR. Jack D Connally, M.D. is a diagnostic radiology radiology in Dallas, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack D Connally, M.D. NPI is 1023002755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10500 STEPPINGTON DR
SUITE 100A
DALLAS, TX
ZIP 75230-561
Phone: (214) 987-4601
Fax: (214) 987-4039

The enumeration date for this NPI number is 9/8/2005 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	E0425	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	86251R	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	E81027	MEDICARE UPIN	TEXAS
3	134250301	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »