Healthcare Provider Details

I. General information

NPI: 1780324624
Provider Name (Legal Business Name): ZACHARY ALEXANDER POCHE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8166 MAIN ST
HOUMA LA
70360-3404
US

IV. Provider business mailing address

8166 W MAIN ST, HOUMA, LA 70360
HOUMA LA
70360
US

V. Phone/Fax

Practice location:
  • Phone: 985-873-4141
  • Fax: 985-873-4725
Mailing address:
  • Phone:
  • Fax: 985-873-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number338585
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number338585
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: