MEDICARE: MR. MANFERD DEE KOCH PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	21364	TX
2	103T00000X	Psychologist	30637	TX

General Provider Information

NPI Number	:	1588673982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MANFERD DEE KOCH PHD

Provider Business Mailing Address
First Line	:	6000 S STAPLES
Second Line	:	#302
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2952
Country	:	US
Telephone Number	:	361-992-1444
Fax Number	:	361-992-1479

Provider Business Practice Location Address
First Line	:	6000 S STAPLES
Second Line	:	#302
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2952
Country	:	US
Telephone Number	:	361-992-1444
Fax Number	:	361-992-1479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1932117033 — MS. TAMARA H. ROBERTSON MS
Practice Location Address:

6000 S STAPLES ST STE 200
CORPUS CHRISTI, TX
78413-2952

Practice Phone: 361-425-8790
Practice Fax: 361-225-3945

1235898701 — BAY AREA PSYCHIATRY SERVICES PC
Practice Location Address:

6000 S STAPLES ST STE 406
CORPUS CHRISTI, TX
78413-2952

Practice Phone: 361-444-5255
Practice Fax:

1558366914 — CHRISTI M TUPA M.D.
Practice Location Address:

6000 S STAPLES ST , SUITE 406
CORPUS CHRISTI, TX
78413-2952

Practice Phone: 361-993-4835
Practice Fax: 361-993-7043

1568457315 — RAUL R CAPITAINE MD
Practice Location Address:

6000 S STAPLES ST , #406
CORPUS CHRISTI, TX
78413-2952

Practice Phone: 361-993-4835
Practice Fax: 361-993-7043

1861483984 — KRISTOPHER L RICHARDSON PA-C
Practice Location Address:

6000 S STAPLES ST , SUITE 406
CORPUS CHRISTI, TX
78413-2952

Practice Phone: 361-993-4835
Practice Fax: 361-993-7043

1821033598 — BAY AREA SLEEP EVALUATION CENTER, LLC
Practice Location Address:

6000 S STAPLES ST STE 408
CORPUS CHRISTI, TX
78413-2952

Practice Phone: 361-852-9200
Practice Fax: 361-852-9204

Directions to “ MR. MANFERD DEE KOCH PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.