# REGEN PAIN MANAGEMENT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699122101
- **Authorized official:** DR. JONATHAN C KONING MD (PRESIDENT)
- **Authorized official phone:** (469) 252-4777

## Contact information

- **Practice address:** 6020 W PARKER RD STE 300, PLANO, TX 75093-8177
- **Practice address phone:** (469) 252-4777
- **Practice address fax:** (469) 518-2156
- **Mailing address:** 6020 W PARKER RD STE 300, PLANO, TX 75093-8177
- **Mailing address phone:** (469) 252-4777
- **Mailing address fax:** (469) 518-2156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | Q0953 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 03/27/2024