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NPI Code Detail

MEDICARE: KATHERINE CHARLOTTE KOEPP MD

MEDICARE: KATHERINE CHARLOTTE KOEPP MD
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
1208600000XSurgery PhysicianBP10097587TX

General Provider Information

NPI Number : 1699606103
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CHARLOTTE KOEPP MD
Provider Business Mailing Address
First Line : 1501 RED RIVER ST FL 2
Second Line : 2ND FLOOR
City : AUSTIN
State : TX
Zip : 78712-1845
Country : US
Telephone Number : 512-495-5555
Fax Number :
Provider Business Practice Location Address
First Line : 1501 RED RIVER ST FL 2
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1845
Country : US
Telephone Number : 512-495-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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