Provider Demographics
NPI:1487894713
Name:KONOPKP, CHRISTINE ANN (LMT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:KONOPKP
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 HARWIN DR
Mailing Address - Street 2:STE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2276
Mailing Address - Country:US
Mailing Address - Phone:281-636-7710
Mailing Address - Fax:281-861-5990
Practice Address - Street 1:7234 CANDA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4831
Practice Address - Country:US
Practice Address - Phone:281-636-7710
Practice Address - Fax:281-861-5990
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXMT105529225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist