Provider Demographics
NPI:1205826096
Name:CONROY, JEFFREY PATRICK (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:PATRICK
Last Name:CONROY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 691286
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78269-1286
Mailing Address - Country:US
Mailing Address - Phone:210-370-7608
Mailing Address - Fax:
Practice Address - Street 1:5837 DE ZAVALA RD UNIT 691286
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78269-0790
Practice Address - Country:US
Practice Address - Phone:210-370-7608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659523367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered