Organization
DMCTX1, PLLC
Active
Other names
Dedicated Medical Center, Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A KOCH MD (MEDICAL DIRECTOR)
(409) 200-2811
Entity
Organization
Contact information
Practice address
703 W. BLUFF ST., WOODVILLE, TX 75979-5131
(409) 200-2811
(409) 200-2856
Mailing address
703 W. BLUFF ST., WOODVILLE, TX 75979-5131
(409) 200-2811
(409) 200-2856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/12/2018
Last updated
09/14/2021
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