Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genevieve Marie Konicke, PA-C

Individual provider Surgical Physician Assistant · NPI 1710459896

Genevieve Marie Konicke, PA-C is a Surgical Physician Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4900 Mueller Blvd
Austin, TX 78723-3079
Phone: (855) 324-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA12417 (TX)

Record details

NPI number1710459896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2018
Last updated in NPPESDecember 29, 2018

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