Organization
LUIZ TOLEDO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIZ TOLEDO MD (PHYSICIAN/OWNER)
(817) 377-0050
Entity
Organization
Contact information
Practice address
4255 BRYANT IRVIN RD, SUITE 105, FT WORTH, TX 76109-4233
(817) 377-0050
(817) 377-0054
Mailing address
4255 BRYANT IRVIN RD, SUITE 105, FT WORTH, TX 76109-4233
(817) 377-0050
(817) 377-0054
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
G8763
TX
Other
Enumeration date
02/03/2011
Last updated
11/23/2011
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