Provider Demographics
NPI:1124060256
Name:TOKAZ, LAURENCE KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:KEVIN
Last Name:TOKAZ
Suffix:
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-438-9605
Practice Address - Street 1:4101 JAMES CASEY ST STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3325
Practice Address - Country:US
Practice Address - Phone:512-447-2202
Practice Address - Fax:512-462-9574
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6240207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134191908Medicaid
TX134191901Medicaid
TX134191902Medicaid
TX8R1569OtherBLUE CROSS OF TEXAS
TX87690KMedicare PIN
TX83W007Medicare PIN
TX134191901Medicaid
TX134191908Medicaid
TX134191902Medicaid