Provider Demographics
NPI:1407800170
Name:CONNER, BARBARA NELL (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:NELL
Last Name:CONNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HALLETTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77964-2947
Mailing Address - Country:US
Mailing Address - Phone:361-798-4313
Mailing Address - Fax:361-798-4499
Practice Address - Street 1:316 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HALLETTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77964-2947
Practice Address - Country:US
Practice Address - Phone:361-798-4313
Practice Address - Fax:361-798-4499
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6288207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0090BUOtherBLUE CROSS BLUE SHIELD
TX140046710Medicaid
TX0090BUOtherBLUE CROSS BLUE SHIELD
TX140046710Medicaid