Individual
DR. BRENT TOLAND
Active
Individual
DR. BRENT TOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75055
AZ
207L00000X
Anesthesiology Physician
BP10039725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350290801
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8FG415
BCBS
TX
01
—
P01536088
RAIL ROAD
TX
Enumeration date
06/13/2011
Last updated
11/19/2024
Update your record
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