Individual
MR. JEFFREY KONNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSCIAN ASSISTANT
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(800) 348-0712
Mailing address
602 PARKHILL DR, MANSFIELD, TX 76063-3227
(682) 518-1022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05649
TX
Other
Enumeration date
01/07/2008
Last updated
01/08/2010
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