Individual
PETROS KONOFAOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1005 HARBORSIDE DR, 5TH FLOOR, GALVESTON, TX 77555-0001
(409) 772-8115
(409) 772-1872
Mailing address
PO BOX 650859, DEPT. 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD50989
TN
208200000X
Plastic Surgery Physician
U1064
TX
208600000X
Surgery Physician
U1064
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
U1064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180136A
—
GA
05
—
08231501
—
MS
05
—
1720364367
—
MO
05
—
177445
—
AL
05
—
204025001
—
AR
05
—
Q007443
—
TN
Enumeration date
10/27/2011
Last updated
05/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us