Provider Demographics
NPI:1487668281
Name:CONNER, MARGARET EILEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:EILEEN
Last Name:CONNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4603 WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1368
Mailing Address - Country:US
Mailing Address - Phone:432-295-0096
Mailing Address - Fax:
Practice Address - Street 1:1501 HIGHWAY 287 N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4855
Practice Address - Country:US
Practice Address - Phone:817-453-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6126207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1398489-21Medicaid
TX1398489-21Medicaid
TXE16962Medicare UPIN