Organization
TANISHA A TOASTON DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M LEE (OPERATIONS MANAGER)
(817) 284-9850
Entity
Organization
Contact information
Practice address
2304 HIGHWAY 121, BEDFORD, TX 76021-5985
(817) 284-9850
(817) 284-9859
Mailing address
PO BOX 631309, IRVING, TX 75063-0017
(817) 284-9850
(949) 955-7361
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
M7692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078TY
BCBS
TX
Enumeration date
09/17/2010
Last updated
03/31/2025
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