Provider Demographics
NPI:1508144999
Name:KONEN & ASSOCIATES PA
Entity Type:Organization
Organization Name:KONEN & ASSOCIATES PA
Other - Org Name:UNIFIED PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-755-2742
Mailing Address - Street 1:2911 TURTLE CREEK BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-6290
Mailing Address - Country:US
Mailing Address - Phone:214-559-9695
Mailing Address - Fax:214-594-0379
Practice Address - Street 1:12222 N CENTRAL EXPY STE 340
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3755
Practice Address - Country:US
Practice Address - Phone:972-972-4851
Practice Address - Fax:972-556-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2130582OtherCLIA
TX1002904OtherDEPT OF STATE HEALTH SERVICES - REGULATORY LICENSING UNIT
TX1002905OtherDEPT OF STATE HEALTH SERVICES - REGULATORY LICENSING UNIT
TX1002935OtherDEPT OF STATE HEALTH SERVICES - REGULATORY LICENSING UNIT