Provider Demographics
NPI:1699011924
Name:KOAY, EUGENE J (MD, PHD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:J
Last Name:KOAY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 HOLCOMBE BLVD
Mailing Address - Street 2:MS 97
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4004
Mailing Address - Country:US
Mailing Address - Phone:817-805-2839
Mailing Address - Fax:
Practice Address - Street 1:1220 HOLCOMBE BLVD
Practice Address - Street 2:MS 97
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4004
Practice Address - Country:US
Practice Address - Phone:817-805-2839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP200385512085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology