Organization
KATHY A. TOLER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A TOLER MD (MEDICAL DOCTOR)
(972) 488-8441
Entity
Organization
Contact information
Practice address
10 MEDICAL PKWY, PLAZA 3, STE. 201, DALLAS, TX 75234-7840
(972) 488-8441
(972) 488-8489
Mailing address
PO BOX 885, ADDISON, TX 75001-0885
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H4054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098QV
BCBS
TX
05
—
162294601
—
TX
01
—
DH2201
RR MEDICARE
TX
Enumeration date
01/09/2007
Last updated
09/04/2008
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