REBEKAH KOCH, M.D., PLLC
Psychiatric at Frank Ave, Lufkin, TX

License number
Texas P1888
Category
Psychiatric
Type
Psychiatry
Owner
Name: REBEKAH W KOCH M.D.
Title: PRESIDENT
Phone: (936) 639-4393
Address
Address
1105 W Frank Ave SUITE 280, Lufkin, TX 75904
National Provider ID: 1770849184
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REBEKAH KOCH, M.D., PLLC

1105 W Frank Ave STE 280, Lufkin, TX 75904

Registration:
Feb 16, 2012
State ID:
0801552499
Business type:
Domestic Limited Liability Company (LLC)
Director:
Rebekah Koch (Director), 1105 W Frank Ave, Lufkin, TX 75904
TIN:
32047004984

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