Shawn James Connolly, DO
Emergency Medicine in San Antonio, TX. Individual provider (NPI-1).
NPI number1164096772
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1164096772
- Entity type
- Individual (NPI-1)
- Name
- Shawn James Connolly
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2021
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | U8700 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8811 Village DrSan Antonio, TX 78217-5415
Phone 210-297-2000
Mailing address
39 Sullivan StPo Bo 1029
Wurtsboro, NY 12790
Phone 617-842-0525
Other practice locations
707 E Main St
Middletown, NY 10940-2650
Middletown, NY 10940-2650
Phone 845-333-7373 · Fax 845-333-7342
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