Individual
KATHY A TOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 MEDICAL PKWY # 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
—
0099KA
BCBS
TX
Enumeration date
05/27/2005
Last updated
07/08/2007
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