Individual
DR. KARL MARC KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N IH 35, PAUL BASS CLINIC, AUSTIN, TX 78701-1926
(512) 495-5675
Mailing address
1400 BARBARA JORDAN BLVD, STE 1.114, AUSTIN, TX 78723-3092
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
12999
NH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
Q6953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013235
—
VT
05
—
30206851
—
NH
Enumeration date
09/01/2006
Last updated
05/02/2017
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