Max W Koch

NPI #1093751687 in Mansfield, Texas

Provider Information

NPI Number: 1093751687
Entity Type: Organization
Organization Name: Max W Koch
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 21, 2006
Last Updated: Nov 2, 2007

Practice Location

Address: 400 INDUSTRIAL BLVD
Address 2: STE 108
City: Mansfield
State: Texas
ZIP Code: 76063-2202
Phone: (817) 453-2800

Authorized Official

Name: MR. MAX WILLIAM KOCH III, CPED CFO
Title: OWNER
Phone: (817) 909-6293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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