Healthcare Provider Details

I. General information

NPI: 1154471241
Provider Name (Legal Business Name): MARK BOCHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 EAST 15TH STREET
AUSTIN TX
78701
US

IV. Provider business mailing address

6300 LA CALMA DR STE 200
AUSTIN TX
78752-3843
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-7000
  • Fax:
Mailing address:
  • Phone: 888-800-8237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberTRN9207
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: