Individual
JAMES E. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12001 CASCADE CAVERNS TRL, AUSTIN, TX 78739-4805
(512) 736-4442
Mailing address
12001 CASCADE CAVERNS TRL, AUSTIN, TX 78739-4805
(512) 736-4442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
PA03169
TX
363A00000X
Physician Assistant
Primary
PA03169
TX
363AM0700X
Medical Physician Assistant
PA03169
TX
Other
Enumeration date
12/08/2006
Last updated
01/11/2024
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