Individual
DR. MICHAEL KOECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17189 INTERSTATE 45 S, SUITE 475, THE WOODLANDS, TX 77385
(936) 270-3933
(713) 791-5134
Mailing address
17189 INTERSTATE 45 S, SUITE 475, THE WOODLANDS, TX 77385
(936) 270-3933
(713) 791-5134
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T2416
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
T2416
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2012
Last updated
07/06/2023
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