Provider Demographics
NPI:1023011889
Name:SCHOCH, EUGENE P III (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:P
Last Name:SCHOCH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 EAST 32ND ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-477-6341
Mailing Address - Fax:512-477-1148
Practice Address - Street 1:1015 EAST 32ND ST
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-477-6341
Practice Address - Fax:512-477-1148
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2849207XX0005X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXY0028337OtherDPS NUMBER
TX741664135OtherTAX ID
TX0990038Medicaid
TX8BB090OtherINDIVIDUAL BCBS PROV ID
TXY0028337OtherDPS NUMBER
TXCS4290Medicare PIN
TX741664135OtherTAX ID
TX0349690001Medicare NSC