Provider Demographics
NPI:1336477975
Name:KOENIG, JOAN LEE (LM,CPM)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:LEE
Last Name:KOENIG
Suffix:
Gender:F
Credentials:LM,CPM
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:LEE
Other - Last Name:TRETHEWEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:712 N. HOUSTON AVE. SUITE B
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130
Mailing Address - Country:US
Mailing Address - Phone:830-832-6866
Mailing Address - Fax:830-217-6295
Practice Address - Street 1:712 N. HOUSTON AVE. SUITE B
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-609-9880
Practice Address - Fax:830-217-6295
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99089176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife