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Individual
DR. MARK DIETER KOENIG
Active
Individual
DR. MARK DIETER KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A96822
CA
207P00000X
Emergency Medicine Physician
Primary
N3118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588841969
TRICARE SOUTH
TX
05
—
206084001
—
TX
01
—
8CA490
BCBSTX
TX
Enumeration date
01/28/2008
Last updated
03/26/2010
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