GENEVIEVE MARIE KONICKE

AUSTIN, TX
NPI1710459896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: TX  PA12417)
Enumeration Date2018-12-29
Last Update Date2018-12-29
Business Address
GENEVIEVE MARIE KONICKE PA-C
4900 MUELLER BLVD
AUSTIN, TX 78723-3079
Phone number: 855-324-0091
Mailing Address
GENEVIEVE MARIE KONICKE PA-C
4900 MUELLER BLVD
AUSTIN, TX 78723-3079
Phone number: