Organization
SP ANESTHESIA CONSULTANTS PLLC
Active
Parent organization
THE SPINE AND WELLNESS INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SPINE AND WELLNESS INSTITUTE
Authorized official
DR. JONATHAN KONING MD (OWNER)
(951) 317-4301
Entity
Organization
Contact information
Practice address
6300 W PARKER RD STE G25, PLANO, TX 75093-8105
(469) 252-4777
(469) 518-2156
Mailing address
5550 WARREN PKWY STE 110, FRISCO, TX 75034-7399
(469) 252-4777
(460) 951-8215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
Q0953
TX
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
01/08/2018
Last updated
01/09/2019
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