Provider Demographics
NPI:1124082623
Name:KOCAY, PAUL H (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:KOCAY
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 1:1343 BANDERA HWY
Mailing Address - Street 2:407
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-9741
Mailing Address - Country:US
Mailing Address - Phone:830-890-5730
Mailing Address - Fax:
Practice Address - Street 1:1343 BANDERA HWY
Practice Address - Street 2:407
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-9741
Practice Address - Country:US
Practice Address - Phone:830-890-5730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3527207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123756202Medicaid
TX81600XOtherBCBS
TX80450NMedicare ID - Type Unspecified
TX81600XOtherBCBS