MEDICARE: DR. EUGENE P SCHOCH III 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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	E2849	TX

General Provider Information

NPI Number	:	1023011889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE P SCHOCH III MD

Provider Business Mailing Address
First Line	:	1015 EAST 32ND ST
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78705
Country	:	US
Telephone Number	:	512-477-6341
Fax Number	:	512-477-1148

Provider Business Practice Location Address
First Line	:	1015 EAST 32ND ST
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78705
Country	:	US
Telephone Number	:	512-477-6341
Fax Number	:	512-477-1148

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/27/2018

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