Provider Demographics
NPI:1932329513
Name:KOENIGSBERG, ALAN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:DAVID
Last Name:KOENIGSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2325 COIT RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3795
Mailing Address - Country:US
Mailing Address - Phone:972-867-3375
Mailing Address - Fax:972-596-4656
Practice Address - Street 1:2325 COIT RD
Practice Address - Street 2:SUITE E
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3795
Practice Address - Country:US
Practice Address - Phone:972-867-3375
Practice Address - Fax:972-596-4656
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG78372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry