Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Enoch C Koo, PA-C

Individual provider Physician Assistant · NPI 1780475772

Enoch C Koo, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2025, 1 year ago. Practices with Baylor College of Medicine, a 1,218-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1101 Bates Ave
Houston, TX 77030-2607
Phone: (818) 319-6498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11731 Flamingo Dr, Garden Grove, CA 92841-2661 — (818) 319-6498
  • 6720 Bertner Ave, Houston, TX 77030-2604 — (832) 355-2666

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19375 (TX)

Record details

NPI number1780475772
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 16, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Baylor College Of Medicine — 1218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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