| NPI | 1396194676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CONRAD KONING President 469-252-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q0953) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2017-05-06 |