Koch, Stephen M
Koch, Stephen M is an individual health care provider with primary practice located at 200 E San Augustine St Unit 130 , Deer Park TX 77536-4191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koch, Stephen M can be contacted via phone (281) 784-9223.Contact Information
Primary practice address
200 E San Augustine St Unit 130
Deer Park TX 77536-4191
Phone: (281) 784-9223
Fax: (281) 715-1802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 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 | Feb 25th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750325601 | NPPES |
| Texas | Other | 89Y447 | BCBS |
| Texas | MEDICAID | 138278004 | BCBS |
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