Provider Demographics
NPI:1235365966
Name:KONEKTZ LLC
Entity Type:Organization
Organization Name:KONEKTZ LLC
Other - Org Name:1ST CHOICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAELS-KNARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-699-7700
Mailing Address - Street 1:2902 S BUCKNER BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-6951
Mailing Address - Country:US
Mailing Address - Phone:972-699-7700
Mailing Address - Fax:214-452-9938
Practice Address - Street 1:2902 S BUCKNER BLVD
Practice Address - Street 2:STE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-6951
Practice Address - Country:US
Practice Address - Phone:972-699-7700
Practice Address - Fax:214-452-9938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care