Koch, Stephen M

Koch, Stephen M is an individual health care provider with primary practice located at 6411 Fannin St , Houston TX 77030-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Koch, Stephen M can be contacted via phone (713) 500-6200.

Contact Information

Primary practice address
6411 Fannin St Houston TX 77030-1501
Phone: (713) 500-6200
Fax: (713) 500-6201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X J0553 Texas

Profile Details

NPI number 1750325601
LBN Legal business name Koch, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 6th, 2013 - about 12 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 1750325601 NPPES
Texas Other 89Y447 BCBS
Texas MEDICAID 138278004 BCBS

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