Dekonenko, Charlene

Dekonenko, Charlene is an sole proprietor health care provider with primary practice located at 333 N Santa Rosa , San Antonio TX 78207-3108. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Dekonenko, Charlene can be contacted via phone (210) 704-3030.

Contact Information

Primary practice address
333 N Santa Rosa San Antonio TX 78207-3108
Phone: (210) 704-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X V3277 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X V3277 Texas

Profile Details

NPI number 1144615162
LBN Legal business name Dekonenko, Charlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2015
Last updated Aug 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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