# ALBERT SAMUEL KOENIG, III, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALBERT SAMUEL KOENIG, III, PA
- **Other names:** FAMILY MEDICAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992848162
- **Legal business name:** ALBERT SAMUEL KOENIG, III, PA
- **Authorized official:** DR. ALBERT SAMUEL KOENIG III M.D. (CORPORATION PRESIDENT)
- **Authorized official phone:** (479) 782-4000

## Contact information

- **Practice address:** 2420 ROGERS AVE, FORT SMITH, AR 72901-4164
- **Practice address phone:** (479) 782-4000
- **Practice address fax:** (479) 782-0265
- **Mailing address:** 2420 ROGERS AVE, FORT SMITH, AR 72901-4164
- **Mailing address phone:** (479) 782-4000
- **Mailing address fax:** (479) 782-0265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C4336 | AR | Yes |
| 207ZP0101X | Anatomic Pathology Physician | C4336 | AR | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | C4336 | AR | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110246002 | — | AR |
| 01 | — | 5B289 | ARKANSAS BLUE CROSS & BLU | AR |