# TANISHA A TOASTON DO PA

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

## Provider details

- **NPI number:** 1538477088
- **Authorized official:** LISA M LEE (OPERATIONS MANAGER)
- **Authorized official phone:** (817) 284-9850

## Contact information

- **Practice address:** 2304 HIGHWAY 121, BEDFORD, TX 76021-5985
- **Practice address phone:** (817) 284-9850
- **Practice address fax:** (817) 284-9859
- **Mailing address:** PO BOX 631309, IRVING, TX 75063-0017
- **Mailing address phone:** (817) 284-9850
- **Mailing address fax:** (949) 955-7361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0004X | Spinal Cord Injury Medicine Physician | M7692 | TX | Yes |

## Other

- **Enumeration date:** 09/17/2010
- **Last updated:** 03/31/2025
