Organization
REGEN PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CONRAD KONING MD (OWNER)
(469) 252-4777
Entity
Organization
Contact information
Practice address
6020 W PARKER RD STE 300, PLANO, TX 75093-8177
(469) 252-4777
(469) 518-2156
Mailing address
6020 W PARKER RD STE 300, PLANO, TX 75093-8177
(469) 252-4777
(469) 518-2156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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