Koch, Mark
Koch, Mark is an individual health care provider with primary practice located at 1500 S Main St Dept Of Family Medicine, Fort Worth TX 76104-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koch, Mark can be contacted via phone (817) 927-1200.Contact Information
Primary practice address
1500 S Main St Dept Of Family Medicine
Fort Worth TX 76104-4917
Phone: (817) 927-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J4274 | Texas |
Profile Details
| NPI number | 1174512651 |
|---|---|
| LBN Legal business name | Koch, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jun 3rd, 2016 - about 10 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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