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1720139116
TERENCE PHILLIP MACCONNELL
AUSTIN, TX
NPI
1720139116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: TX E4494)
Enumeration Date
2007-01-14
Last Update Date
2007-07-08
Business Address
-- TERENCE PHILLIP MACCONNELL MD
13831 N HIGHWAY 183
AUSTIN, TX 78750-1202
Phone number: 512-250-0424
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Mailing Address
-- TERENCE PHILLIP MACCONNELL MD
300 TERRY LN
LEANDER, TX 78641-8539
Phone number: 512-259-2725
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