Provider Demographics
NPI:1972541357
Name:KOCS, DARREN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:MICHAEL
Last Name:KOCS
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:972-437-9605
Practice Address - Street 1:2410 ROUND ROCK AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4003
Practice Address - Country:US
Practice Address - Phone:512-341-8724
Practice Address - Fax:512-341-9440
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6477207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R1488OtherBLUE CROSS OF TX
TX8D5773Medicare PIN
TX8D5778Medicare PIN
TXP00033648Medicare PIN
H86813Medicare UPIN
TX8A8160Medicare PIN
TX8A8159Medicare PIN