Organization
MAX W KOCH
Active
Other names
MED LINK METRO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX WILLIAM KOCH III CPED CFO (OWNER)
(817) 909-6293
Entity
Organization
Contact information
Practice address
400 INDUSTRIAL BLVD, STE 108, MANSFIELD, TX 76063-2202
(817) 453-2800
(210) 568-2682
Mailing address
603 BISCAYNE DR, MANSFIELD, TX 76063-3235
(817) 453-2800
(210) 568-2682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0055752
TX
Other
Enumeration date
06/21/2006
Last updated
11/02/2007
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