Individual provider · Type 1 NPI

Charlene Dekonenko, MD

Pediatric Surgery Physician · San Antonio, TX

NPI number 1144615162 Active

Practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

3901 Rainbow Blvd, M/s #2005
Kansas City, KS 66160-8500

Other practice locations

  • 3901 Rainbow Blvd, M/s #2005, Kansas City, KS 66160-8500 · (913) 588-6124

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XV3277 (TX)
Pediatric Surgery Physician Primary 2086S0120XV3277 (TX)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1144615162

Charlene Dekonenko, MD's National Provider Identifier is 1144615162, issued on Apr 6, 2015. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in San Antonio, TX. The record was last updated on Aug 19, 2024.