Provider Demographics
NPI:1962808352
Name:KONESHECK, DARREN (DC)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:KONESHECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24530 KINGSLAND BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3429
Mailing Address - Country:US
Mailing Address - Phone:832-835-1171
Mailing Address - Fax:832-415-0457
Practice Address - Street 1:24530 KINGSLAND BLVD STE B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3429
Practice Address - Country:US
Practice Address - Phone:281-344-2335
Practice Address - Fax:832-437-5495
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor