Basic Information
| Provider Information | |||||||||
| NPI: | 1245763143 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOCHE | ||||||||
| FirstName: | RAMY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11130 CHRISTUS HLS FL 3 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782513585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2107039001 | ||||||||
| FaxNumber: | 2107039155 | ||||||||
| Practice Location | |||||||||
| Address1: | 11130 CHRISTUS HILLS | ||||||||
| Address2: | MEDICAL PLAZA 3, 3RD FL | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782513585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2107039001 | ||||||||
| FaxNumber: | 2107039155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2017 | ||||||||
| LastUpdateDate: | 04/29/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | S6264 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207QS0010X | S6264 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | 665028 | 01 | TX | TMB | OTHER |