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PATRICIA AILEEN CONNALLY DO NPI 1538142930


NPI Information

NPI: 1538142930
Provider Name: PATRICIA AILEEN CONNALLY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2660
Get Directions

Patricia Aileen Connally, DO is a family medicine in Fort Worth, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Patricia Aileen Connally, DO NPI is 1538142930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 735-2660

The enumeration date for this NPI number is 11/21/2005 and was last updated on 12/4/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine625OAWYOMINGNo
2207Q00000XFamily Medicine43258COLORADONo
3207Q00000XFamily MedicineP5789TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1336109903MEDICAIDTEXAS
2336109901MEDICAIDTEXAS
3120609500MEDICAIDWYOMING
48EL431OTHERTEXASBCBS
550139525MEDICAIDCOLORADO
6P01527360OTHERTEXASRAILROAD MEDICARE
7344832YPF6MEDICARE PINTEXAS
88EG745OTHERTEXASBCBS
9344832YS0QMEDICARE PINTEXAS
10H37362MEDICARE UPIN

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: 11/14/2023

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.