Individual
DR. MINDA LAO TOLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8333 9TH AVENUE, SUITE B, PORT ARTHUR, TX 77642
(409) 729-9200
(409) 729-9235
Mailing address
8333 9TH AVENUE, SUITE B, PORT ARTHUR, TX 77642
(409) 729-9200
(409) 729-9235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M2487
TX
208000000X
Pediatrics Physician
Primary
M2487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417006735
GROUP NPI
TX
05
—
178296301
—
TX
05
—
178296302
—
TX
05
—
178297101
—
TX
01
—
20-3418877
TAX ID
TX
01
—
M2487
LIC NO.
TX
Enumeration date
09/20/2005
Last updated
03/07/2023
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