MR. PATRICK JOSEPH CONCANNON (NPI# 1760588123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760588123 |
Entity Type | Individual |
Full Name | MR. PATRICK JOSEPH CONCANNON |
Credential | RT R. T, CMD |
Practice Address |
2002 Holcombe Blvd Houston TX 77703 |
Mailing Address |
1123 Prince St Houston TX 77008-6405 |
Practice Telephone | 7137911414 |
Mailing Telephone | 7138645845 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
2002 HOLCOMBE BLVD |
City | HOUSTON |
State | TX |
Zip Code | 77703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760488290 | Gayathri Bhagwath | Internal Medicine | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2005-06-21 |
1023615143 | Aji Sam | Nurse Practitioner | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-10-01 |
1639785280 | Jessie Ho | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-18 |
1326653437 | Stacey Edwards | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-15 |
1104431436 | Jessica Taylor Honkomp | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-14 |
1205449360 | Holly Denise Robertson | Registered Nurse | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-28 |
1033720933 | Alana Rice | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
1033720925 | Noelle Marie Cordova | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
1679184568 | Khushbu A Patel | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
1336750314 | Melissa Lorraine Alvarez | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548687684 | Christie N Beaugh | Counselor | 2574 North 11th Street, Beaumont, TX 77703 | 2014-03-26 |
1366728040 | Beaumont Orthodontic Specialists | Dentist | 3954 Eastex Freeway, Beaumont, TX 77703 | 2011-10-26 |
1033395660 | Danari, Inc | Durable Medical Equipment & Medical Supplies | 2190 Eastex Freeway, Beaumont, TX 77703 | 2008-01-14 |
1801091848 | Catholic Charities of Southeast Texas | Counselor | 2780 Eastex Freeway, Beaumont, TX 77703 | 2007-06-19 |
1487874400 | Joseph W Provo IIi | Dentist | 1460 Ih 10 East, Suite A, Beaumont, TX 77703 | 2007-05-01 |
1023134608 | Assisted Living Concepts Inc | Assisted Living Facility | 2910 Toccoa Road, Beaumont, TX 77703 | 2007-03-22 |
1134233059 | Golden Traingle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 4415 Jerry, Beaumont, TX 77703 | 2006-08-18 |
1225142144 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 6270 Carnation Dr, Beaumont, TX 77703 | 2006-08-18 |
1487214987 | Edalynn Roper | Home Health Aide | 4885 Detroit St, Beaumont, TX 77703-1416 | 2019-06-17 |
1225106339 | Nutrition and Services for Seniors | Home Delivered Meals | 4590 Concord Rd, Beaumont, TX 77703-1806 | 2006-11-30 |
Find all providers in zip 77703 |
Taxonomy Code | 2471R0002X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiation Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417065095 | Melissa Brady | Radiologic Technologist | 5514 Griggs Rd, Apt 1333, Houston, TX 77021-3761 | 2006-08-25 |
1336750314 | Melissa Lorraine Alvarez | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-12 |
1316231152 | Robin Michelle Dickerson | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2011-06-08 |
1679678692 | Gil A Sobremonte | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-14 |
1932201621 | Shailesh Patel | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-02 |
1487762605 | Aimee Danae Boyd | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-28 |
1598873218 | Judy A Milton | Radiologic Technologist | 2002 Holcombe Blvd, Radiation Therapy Dept., Houston, TX 77030-4211 | 2006-08-25 |
1639287360 | Lori Ann Edwards | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922370733 | Cancer Treatment & Prevention Cente | Radiologic Technologist | 4010 College St., Ste. 100, Beaumont, TX 77706-4016 | 2012-02-09 |
1497070379 | Matthew Quinn Olden | Radiologic Technologist | 4004 Dorris Rd, Irving, TX 75038-4003 | 2010-04-02 |
1205973369 | Curtis L. Arnold | Radiologic Technologist | 103 Fieldwood Ct, Forney, TX 75126-6890 | 2007-01-30 |
1740398858 | Jennifer Marie Webb-goetz | Radiologic Technologist | 4534 Mimosa Dr, Bellaire, TX 77401-5814 | 2006-08-28 |
1770965766 | Margaret Prince | Radiologic Technologist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2015-06-25 |
1073919692 | Mary Wood | Radiologic Technologist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4545 | 2014-11-10 |
1447659594 | Amber Gabbard | Radiologic Technologist | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2014-08-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.