Individual
DR. WILLIAM KARL KOECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18626 HARDY OAK BLVD, SUITE 320, SAN ANTONIO, TX 78258-4210
(210) 497-4186
(210) 497-4718
Mailing address
18626 HARDY OAK BLVD, SUITE 320, SAN ANTONIO, TX 78258-4210
(210) 497-4186
(210) 497-4718
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
M9423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199743901
—
TX
05
—
199743902
—
TX
05
—
199743903
—
TX
05
—
199743904
—
TX
Enumeration date
04/17/2008
Last updated
01/19/2011
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