Connally, Robert Crisp

Connally, Robert Crisp is an individual health care provider with primary practice located at 17218 Preston Rd Ste 2000 , Dallas TX 75252-4018. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Connally, Robert Crisp can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
17218 Preston Rd Ste 2000 Dallas TX 75252-4018
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X T3937 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X T3937 Texas

Profile Details

NPI number 1245762848
LBN Legal business name Connally, Robert Crisp
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2017
Last updated Jul 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245762848 NPPES
Texas MEDICAID 433865901

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