Koch, Marc

Koch, Marc is an individual health care provider with primary practice located at 7703 Floyd Curl Dr Mc 7977, San Antonio TX 78229-3901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Koch, Marc can be contacted via phone (210) 257-1400.

Contact Information

Primary practice address
7703 Floyd Curl Dr Mc 7977 San Antonio TX 78229-3901
Fax: (210) 257-1428
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 254664 Texas

Profile Details

NPI number 1902094154
LBN Legal business name Koch, Marc
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated May 6th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902094154 NPPES
Texas MEDICAID 189796901

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