Individual
KATHLEEN R SOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2606 HOSPITAL BLVD STE B, CORPUS CHRISTI, TX 78405-1804
(361) 902-4789
(361) 902-4588
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
B26552
TX
207Q00000X
Family Medicine Physician
G0145
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
B26552
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G0145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102018204
—
TX
05
—
102018205
—
TX
01
—
1L5842
MEDICARE
TX
01
—
P02601817
MCRR
TX
Enumeration date
06/28/2005
Last updated
04/08/2021
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