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NPI Code Detail

MEDICARE: DR. ANDREW A. KONEN M.D.

MEDICARE:  DR. ANDREW A. KONEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine PhysicianK0506TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467439166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW A. KONEN M.D.
Provider Business Mailing Address
First Line : PO BOX 650426
Second Line :
City : DALLAS
State : TX
Zip : 75265-0426
Country : US
Telephone Number : 972-715-5007
Fax Number : 972-715-5682
Provider Business Practice Location Address
First Line : 9301 N CENTRAL EXPY
Second Line : SUITE 585
City : DALLAS
State : TX
Zip : 75231-0806
Country : US
Telephone Number : 214-252-9432
Fax Number : 214-252-9464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 09/30/2024

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Directions to “ DR. ANDREW A. KONEN M.D.” Practice Location

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