| Doctor Name: | TERENCE PHILLIP MACCONNELL |
| NPI Number: | 1720139116 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | E4494 |
| Business Practice Address: | 13831 N Highway 183 Austin, TX - 787501202 |
| Business Phone Number: | 5122500424 |
| Business Fax Number: | 5122190192 |
| Mailing Address: | 300 Terry Ln, LEANDER |
| State: | TX |
| Postal Code: | 786418539 |
| Phone Number: | 5122592725 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E4494 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |