# LUIZ TOLEDO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124324447
- **Authorized official:** LUIZ TOLEDO MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (817) 377-0050

## Contact information

- **Practice address:** 4255 BRYANT IRVIN RD, SUITE 105, FT WORTH, TX 76109-4233
- **Practice address phone:** (817) 377-0050
- **Practice address fax:** (817) 377-0054
- **Mailing address:** 4255 BRYANT IRVIN RD, SUITE 105, FT WORTH, TX 76109-4233
- **Mailing address phone:** (817) 377-0050
- **Mailing address fax:** (817) 377-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | G8763 | TX | Yes |

## Other

- **Enumeration date:** 02/03/2011
- **Last updated:** 11/23/2011