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Individual

DR. WILLIAM MARK KONYECSNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9701 BRODIE LN, #203, AUSTIN, TX 78748-6282
(512) 291-1711
(512) 291-1488
Mailing address
9701 BRODIE LN, #203, AUSTIN, TX 78748-6282
(512) 291-1711
(512) 291-1488

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
052525
GA
2084P0800X
Psychiatry Physician
2006005517
MO
2084P0800X
Psychiatry Physician
22397
SC
2084P0800X
Psychiatry Physician
32035
AZ
2084P0800X
Psychiatry Physician
Primary
K2054
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
807539
AHCCCS
AZ
Enumeration date
10/11/2007
Last updated
10/11/2007
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