Organization
SPINE AND WELLNESS INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
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
(469) 518-2156
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
Q0953
TX
261QP3300X
Pain Clinic/Center
Q0953
TX
Other
Enumeration date
01/08/2018
Last updated
04/02/2018
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