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Individual

ALLISON M TOBOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 510-8840
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M4594
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
M4594
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M4594
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195628601
TX
01
752616977021
TRICARE
TX
01
8BC070
BCBS
TX
Enumeration date
05/15/2007
Last updated
03/11/2026
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