Individual
MARC KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
254664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189796901
—
TX
Enumeration date
10/11/2007
Last updated
05/06/2009
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