Individual
DR. DOUGLAS D. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1501, HOUSTON, TX 77030-2717
(713) 798-6100
(713) 798-4231
Mailing address
PO BOX 4771, HOUSTON, TX 77210-4771
(713) 798-6100
(713) 798-4231
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F1717
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134599302
—
TX
05
—
134599303
—
TX
01
—
2317988
BLUE LINK
TX
01
—
82W921
BC/BS
TX
Enumeration date
10/18/2005
Last updated
11/20/2020
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