Mark Koch M.D.

NPI 1174512651 - Family Medicine - 207Q00000X

NPI Details
NPI 1174512651
Gender Male
Enumeration Date 10/18/2005
Last Updated 06/03/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
1500 S MAIN ST
FORT WORTH TX, 76104-4917, US
Phone (817) 927-1200
Business Location
PO BOX 911294
DALLAS TX, 75391-1294, US
Phone (817) 852-8440
Taxonomy Code 207Q00000X
License State Texas
License Number J4274
Remove 1174512651 NPI Number

According to our database, Dr. Mark Koch M.D. NPI is 1174512651, taxonomy code is 207Q00000X and license number is J4274, license state is located at Texas. Mark Koch M.D. physically located at 1500 S Main St, Fort Worth TX, 76104-4917. NPI Number Mark Koch M.D. has the Individual type.

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1174512651 NPI number is provided on an as is basis without warranty of any kind. 1174512651 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Koch M.D. are for informational purposes only.