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1174512651
MARK KOCH
FORT WORTH, TX
NPI
1174512651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J4274)
Enumeration Date
2005-10-18
Last Update Date
2016-06-03
Business Address
Dr. MARK KOCH M.D.
1500 S MAIN ST DEPT OF FAMILY MEDICINE
FORT WORTH, TX 76104-4917
Phone number: 817-927-1200
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Mailing Address
Dr. MARK KOCH M.D.
PO BOX 911294
DALLAS, TX 75391-1294
Phone number: 817-852-8440
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