Individual
BRIAN TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5612 EDWARDS RANCH RD, FORT WORTH, TX 76109-4145
(817) 420-9238
(817) 357-4363
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J7232
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
J7232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128863107
—
TX
05
—
128863108
—
TX
01
—
84039X
BCBS
TX
01
—
P00431991
RAILROAD MEDICARE PIN
TX
Enumeration date
06/15/2006
Last updated
12/18/2020
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