| Eric R. Koch Dds Pc | |
|
211 E. Houston St Jasper TX 75951-4407 | |
| (409) 384-5438 | |
| (409) 384-6082 |
| Full Name | Eric R. Koch Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 211 E. Houston St, Jasper, Texas |
| Authorized Official Name and Position | Eric Randolph Koch (OWNER) |
| Authorized Official Contact | 4093845438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric R. Koch Dds Pc 211 E. Houston St Jasper TX 75951-4407 Ph: (409) 384-5438 | Eric R. Koch Dds Pc 211 E. Houston St Jasper TX 75951-4407 Ph: (409) 384-5438 |
| NPI Number | 1003986043 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003986043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15428 (Texas) | Primary |
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