MEDICARE: REGINA M. TOBAR FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP142384	TX

General Provider Information

NPI Number	:	1326686650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA M. TOBAR FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 891421
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77289-1421
Country	:	US
Telephone Number	:	713-568-8887
Fax Number	:	713-588-8980

Provider Business Practice Location Address
First Line	:	3301 PLAINVIEW ST STE 8
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1929
Country	:	US
Telephone Number	:	713-568-8887
Fax Number	:	713-588-8980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	07/22/2021

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