1487536017 NPI number — DR. RICHARD KOCHOA PT, DPT, MD, TPS

Table of content: TARICA NICOLE YOUNG OTR/L (NPI 1316470636)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487536017 NPI number — DR. RICHARD KOCHOA PT, DPT, MD, TPS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOCHOA
Provider First Name:
RICHARD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT, MD, TPS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487536017
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1114
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76448-1114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-433-6715
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
923 S COLLEGE FARM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEPHENVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76401-5203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-552-7740
Provider Business Practice Location Address Fax Number:
920-486-4941
Provider Enumeration Date:
07/24/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251E1200X , with the licence number:  1224892 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com