Individual
LUIZ CARLOS TOLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4255 BRYANT IRVIN RD, SUITE 105, FORT WORTH, TX 76109-4233
(817) 377-0050
(817) 377-0054
Mailing address
4255 BRYANT IRVIN RD, SUITE 105, FORT WORTH, TX 76109-4233
(817) 377-0050
(817) 377-0054
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G8763
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G8763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P00064431
—
TX
Enumeration date
01/03/2007
Last updated
11/23/2011
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